ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A client with lupus experience Raynaud’s phenomenon. What should the nurse include when providing client education about this?
- A. In order to avoid flare-ups of Raynaud’s, ensure you wear gloves in winter.’
- B. ‘In order to avoid flare-ups of Raynaud’s, ensure you brush your teeth for 2 minutes.’
- C. ‘In order to avoid flare-ups of Raynaud’s, ensure to keep cool.’
- D. ‘In order to avoid flare-ups of Raynaud’s, ensure you wear sunscreen.’
Correct answer: In order to avoid flare-ups of Raynaud’s, ensure you wear gloves in winter.’
Rationale:
2. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A. Reducing the size of the tumor
- B. Eliminating the malignant cells
- C. Curing the cancer
- D. Helping the bowel heal after surgery
Correct answer: A
Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.
3. When teaching a client how to use nitroglycerin transdermal ointment for angina, which instruction should the nurse include?
- A. Remove the prior dose before applying a new dose.
- B. Rub the ointment directly into your skin until it is no longer visible.
- C. Cover the applied ointment with a clean gauze pad.
- D. Apply the ointment to the same skin area each time.
Correct answer: A
Rationale: The correct instruction is to remove the prior dose before applying a new dose. This helps prevent toxicity by ensuring the client does not inadvertently apply an excessive amount of nitroglycerin.
4. A nurse is assessing a client who has a peripherally inserted central catheter (PICC). Which of the following findings should the nurse report to the provider?
- A. Redness at the insertion site.
- B. Swelling of the arm above the insertion site.
- C. A bruised area around the insertion site.
- D. A temperature of 37.2°C (99°F).
Correct answer: B
Rationale: Swelling of the arm above the insertion site is concerning as it can indicate complications like thrombosis, which require immediate attention. Redness at the insertion site is common and expected in the initial stages. A bruised area around the insertion site may result from the insertion procedure and is usually not alarming unless it worsens or becomes larger. A temperature of 37.2°C (99°F) is within the normal range and is not directly related to PICC complications.
5. Which of the following hormones helps to raise the blood sugar level to help maintain homeostasis?
- A. Antidiuretic hormone (ADH)
- B. Insulin
- C. Glucagon
- D. Thyroxine
Correct answer: C
Rationale: The correct answer is C, Glucagon. Glucagon helps raise blood sugar levels by stimulating the liver to release stored glucose into the bloodstream, thus aiding in maintaining homeostasis. Antidiuretic hormone (ADH), choice A, functions in regulating water balance in the body, not blood sugar levels. Insulin, choice B, lowers blood sugar levels by facilitating glucose uptake by cells. Thyroxine, choice D, is a hormone produced by the thyroid gland that regulates metabolism and has no direct effect on blood sugar levels.
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