which instructions should the nurse discuss with the client diagnosed with raynauds phenomenon

ATI RN

ATI RN Custom Exams Set 1

1. What instructions should the nurse discuss with the client diagnosed with Raynaud’s phenomenon?

A. Explain that exacerbations will not occur in the summer
B. Use nicotine gum to help quit smoking
C. Wear extra warm clothing during cold exposure
D. Avoid prolonged exposure to direct sunlight

Correct answer: C

Rationale: The correct answer is to wear extra warm clothing during cold exposure. This instruction is crucial for managing Raynaud’s phenomenon as it helps prevent vasospasms triggered by cold temperatures. Choice A is incorrect because exacerbations can occur in any season. Choice B is not directly related to managing Raynaud’s phenomenon. Choice D is also irrelevant as direct sunlight exposure does not typically worsen symptoms of Raynaud’s phenomenon.

2. What is the mission of the Army Medical Department?

A. Ensure that each soldier receives a physical examination each year
B. Provide health care to areas of the U.S. declared disaster zones by the President
C. Maintain the health of the Army and conserve its fighting strength
D. Offer medical, dental, and veterinary education and training

Correct answer: C

Rationale: The correct answer is C: 'Maintain the health of the Army and conserve its fighting strength.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure the overall health and readiness of military personnel. Choices A, B, and D are incorrect because they do not fully capture the core purpose of the Army Medical Department. While providing physical examinations, healthcare in disaster areas, and education/training are important aspects, the central mission is to uphold the health and combat readiness of the Army.

3. The nurse teaches the mother of an infant how to care for her infant following repair of a cleft lip. It is MOST important for the nurse to include which of the following instructions?

A. Feed the infant with a newborn nipple while holding him in the recumbent position
B. Clean the suture site with a cotton-tipped swab soaked in Betadine
C. Place the infant in the prone position after feeding
D. Feed the infant with a rubber-tipped syringe and burp frequently

Correct answer: D

Rationale: The correct answer is D because feeding the infant with a rubber-tipped syringe reduces the risk of injury to the surgical site and prevents aspiration. Choice A is incorrect because feeding in the recumbent position can increase the risk of aspiration. Choice B is incorrect as Betadine is not recommended for wound care near the mouth due to its potential toxicity if ingested. Choice C is incorrect because placing the infant in the prone position after feeding can increase the risk of regurgitation and aspiration.

4. What is the COMMZ level hospital whose principal mission is to treat and rehabilitate those patients who can return to duty within the stated theater evacuation policy?

A. FSB
B. CSH
C. GH
D. FH

Correct answer: C

Rationale: The correct answer is C: GH (General Hospital). General Hospitals have the principal mission of treating and rehabilitating patients who can return to duty within the theater evacuation policy. FSB (Forward Surgical Hospital), CSH (Combat Support Hospital), and FH (Field Hospital) do not focus on treating and rehabilitating patients for duty within the theater evacuation policy, making them incorrect choices.

5. What are three major causes of atherosclerosis?

A. Hyperthyroidism, underweight, and poor appetite
B. High blood cholesterol, high blood pressure, and cigarette smoking
C. Constipation, peptic ulcer disease, and pancreatitis
D. Kidney failure, edema, and sodium retention

Correct answer: B

Rationale: The correct answer is B: High blood cholesterol, high blood pressure, and cigarette smoking are three major causes of atherosclerosis. Atherosclerosis is mainly attributed to the buildup of cholesterol-rich plaques in the arteries, high blood pressure causing damage to the arterial walls, and the harmful effects of cigarette smoking on blood vessels. Choices A, C, and D are incorrect because they do not directly relate to the primary causes of atherosclerosis.