the nurse is caring for clients on a medical floor which client will the nurse assess first
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Nursing Elites

ATI RN

ATI RN Custom Exams Set 4

1. The nurse is caring for clients on a medical floor. Which client will the nurse assess first?

Correct answer: C

Rationale: The correct answer is C because epistaxis and headache in a client with hypertension are signs of a hypertensive crisis that necessitate immediate intervention. Choice A is incorrect as constipation in a client with an abdominal aortic aneurysm, while important, does not indicate an immediate crisis. Choice B is incorrect as a client on bed rest ambulating to the bathroom is a positive sign. Choice D is incorrect because a decreased pedal pulse in arterial occlusive disease should be addressed promptly, but it does not indicate an acute emergency like a hypertensive crisis.

2. Which risk factor would the nurse expect to find in the client diagnosed with pancreatic cancer?

Correct answer: C

Rationale: The correct answer is chronic alcoholism. Chronic alcoholism is a significant risk factor for pancreatic cancer due to its impact on the pancreas. Chewing tobacco (choice A) is more associated with oral and throat cancers, not pancreatic cancer. A low-fat diet (choice B) is actually considered a protective factor against pancreatic cancer. Exposure to industrial chemicals (choice D) may be a risk factor for other types of cancer but is not strongly linked to pancreatic cancer.

3. Who is at higher risk for drug-nutrient interactions?

Correct answer: D

Rationale: Older men and women are at higher risk for drug-nutrient interactions due to factors such as polypharmacy and physiological changes. Polypharmacy, common in older adults, increases the likelihood of interactions between drugs and nutrients. Physiological changes that occur with aging can affect how drugs and nutrients are absorbed, distributed, metabolized, and excreted in the body. Infants, people with diabetes, and women of childbearing age are not typically considered high-risk groups for drug-nutrient interactions compared to older adults.

4. Which laboratory data indicate the client’s pancreatitis is improving?

Correct answer: A

Rationale: The correct answer is A. Amylase and lipase are specific markers for pancreatitis. A decrease in their serum levels indicates improvement in pancreatitis. Choice B, a decreased white blood cell count (WBC), is more indicative of an improvement in infection rather than pancreatitis. Choices C and D, decreased bilirubin levels and blood urea nitrogen (BUN) levels respectively, are not specific markers for pancreatitis improvement.

5. Which corps-level hospital is a 296-bed facility that is staffed and equipped to provide care for all categories of patients?

Correct answer: C

Rationale: The correct answer is GH (General Hospital), a 296-bed facility that offers care for all categories of patients. FSB, CSH, and FH do not typically refer to hospitals at the corps level and are not specifically known for providing comprehensive care.

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