ATI RN
ATI RN Custom Exams Set 5
1. The nurse is aware that norepinephrine is secreted by which endocrine gland?
- A. The pancreas
- B. The adrenal cortex
- C. The adrenal medulla
- D. The anterior pituitary gland
Correct answer: C
Rationale: Norepinephrine is indeed secreted by the adrenal medulla, making choice C the correct answer. The adrenal medulla is part of the adrenal glands, located on top of the kidneys. Norepinephrine is involved in the body's 'fight or flight' response, helping to prepare the body to react to stress. Choices A, B, and D are incorrect as norepinephrine is not secreted by the pancreas, adrenal cortex, or the anterior pituitary gland.
2. Interacting with the patient and their family to obtain subjective information is part of which of the following steps for determining and fulfilling the nursing care needs of the patient?
- A. Evaluation
- B. Planning
- C. Implementation
- D. Assessment
Correct answer: D
Rationale: The correct answer is D, Assessment. Assessment in nursing involves obtaining subjective information from the patient and their family to gather data about the patient's health status. This step is crucial as it helps identify the patient's needs, strengths, and areas requiring intervention. Choice A, Evaluation, is incorrect as evaluation comes after the implementation of the care plan to determine its effectiveness. Choice B, Planning, is also incorrect as it involves developing a plan of care based on the assessment data. Choice C, Implementation, is the phase where the nursing interventions are carried out based on the established care plan.
3. The nurse is analyzing laboratory values for the assigned clients. Which finding, based on the client's medical history, indicates the need for immediate follow-up?
- A. Client with chronic kidney disease and serum creatinine of 1.6 mg/dL
- B. Client with diabetes mellitus and a glycosylated hemoglobin A (HbA1c) of 7.0%
- C. Client with heart failure and a B-type natriuretic peptide (BNP) of 140 pg/mL
- D. Client who is male and has anemia with hemoglobin of 16.5 g/dL and hematocrit of 45%
Correct answer: B
Rationale: An HbA1c of 7.0% in a client with diabetes mellitus indicates poor long-term glucose control, necessitating immediate follow-up. Elevated HbA1c levels suggest a higher average blood sugar over the past 2-3 months, increasing the risk of complications associated with diabetes. Choices A, C, and D do not require immediate follow-up based solely on the provided information. A serum creatinine of 1.6 mg/dL in a client with chronic kidney disease, a BNP of 140 pg/mL in a client with heart failure, and hemoglobin of 16.5 g/dL and hematocrit of 45% in a male client with anemia are within acceptable ranges or do not indicate an urgent need for intervention.
4. The nurse has given post-procedure instructions to a client who underwent a colonoscopy. Evaluation of learning would be evident if the client makes which statement(s)?
- A. All below
- B. “My abdominal muscles may be tender because of the procedure.”
- C. “My diet should be light at first, and then I can progress to a regular diet.”
- D. “It is normal to feel gassy or bloated for a short while after the procedure.”
Correct answer: A
Rationale: Mild tenderness, a light diet initially, and gas or bloating are expected after a colonoscopy.
5. Enteral feedings may be appropriate for patients with:
- A. Acute cholecystitis
- B. Hepatic encephalopathy
- C. Ulcerative colitis in remission
- D. Acute exacerbation of Crohn’s disease
Correct answer: D
Rationale: Enteral feedings are commonly used in patients with Crohn’s disease during acute exacerbations to provide adequate nutrition while resting the bowel. Acute cholecystitis, hepatic encephalopathy, and ulcerative colitis in remission wouldn't typically require enteral feedings as the primary nutritional support. Acute cholecystitis may necessitate fasting and intravenous fluids, hepatic encephalopathy may require dietary modifications but not enteral feedings, and patients with ulcerative colitis in remission usually have their nutritional needs met through a regular diet.