ATI RN
ATI RN Custom Exams Set 2
1. The client is diagnosed with hereditary spherocytosis. Which treatment/procedure would the nurse prepare the client to receive?
- A. Bone marrow transplant
- B. Splenectomy
- C. Frequent blood transfusions
- D. Liver biopsy
Correct answer: B
Rationale: The correct answer is B: Splenectomy. Splenectomy is the treatment of choice for hereditary spherocytosis as it helps prevent hemolysis and improve anemia. Removing the spleen reduces the destruction of the abnormal red blood cells. Choice A, Bone marrow transplant, is not a standard treatment for hereditary spherocytosis. Choice C, Frequent blood transfusions, may be used to manage anemia in some cases but is not the primary treatment for hereditary spherocytosis. Choice D, Liver biopsy, is not a treatment for hereditary spherocytosis; it is a procedure used to diagnose liver conditions, not related to this hematologic disorder.
2. When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?
- A. Eat a low-protein diet
- B. Eat a low-fat, low-cholesterol diet
- C. Limit exercise to 10 minutes/day
- D. Keep weight proportionate to height
Correct answer: B
Rationale: Eating a low-fat, low-cholesterol diet is most important for preventing cholecystitis.
3. Which of the following is NOT one of the major duties of the M6 practical nurse?
- A. Performing preventive, therapeutic, and emergency nursing care procedures
- B. Managing other paraprofessional personnel
- C. Managing ward or unit operations
- D. Implementing Level II through Level IV CSH operations
Correct answer: D
Rationale: The correct answer is D because implementing Level II through Level IV CSH operations is not a major duty of the M6 practical nurse. A practical nurse's major duties include performing preventive, therapeutic, and emergency nursing care procedures (Choice A), managing other paraprofessional personnel (Choice B), and managing ward or unit operations (Choice C). These duties are more aligned with the responsibilities of a practical nurse, emphasizing patient care and coordination within a healthcare setting.
4. Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
- A. Interactional theory
- B. Family stress theory
- C. Erikson's psychosocial theory
- D. Developmental systems theory
Correct answer: B
Rationale: Family stress theory explains how families respond to stress and identifies factors that help families adapt to and manage stressful events effectively.
5. A client receives a local anesthetic of Lidocaine during the repair of a skin laceration. For which of the following adverse reactions should the nurse monitor the client?
- A. Seizures
- B. Tachycardia
- C. Hypertension
- D. Fever
Correct answer: A
Rationale: Seizures are a potential adverse reaction to local anesthetics like Lidocaine. Lidocaine can affect the central nervous system and, in some cases, lead to seizure activity. Therefore, it is important for the nurse to monitor the client for any signs of seizures during and after the administration of Lidocaine.