ATI RN
Adult Medical Surgical ATI
1. A client in a clinic presents with an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
- A. Cromolyn via a metered-dose inhaler
- B. Montelukast orally
- C. Budesonide via a dry-powder inhaler
- D. Albuterol via a jet nebulizer
Correct answer: Albuterol via a jet nebulizer
Rationale: During an acute asthma exacerbation, the preferred medication for symptom relief is a short-acting beta-agonist like albuterol, typically delivered via a jet nebulizer for quick onset and efficacy. Cromolyn, montelukast, and budesonide are not as effective for immediate symptom relief in acute exacerbations and are more commonly used for prevention or long-term management of asthma symptoms.
2. What is the primary concern for a patient with a CD4 T-cell count below 180 cells/mm³?
- A. Increased risk of severe infection
- B. Increased risk of anemia
- C. Increased risk of bleeding
- D. Increased risk of dehydration
Correct answer: A
Rationale: A CD4 T-cell count below 180 cells/mm³ indicates a severely immunocompromised state, leading to an increased risk of severe infection. In individuals with low CD4 counts, the immune system is significantly weakened, making them more susceptible to opportunistic infections. Anemia (choice B), bleeding (choice C), and dehydration (choice D) are not the primary concerns associated with a low CD4 T-cell count. While these conditions may occur as secondary effects or complications, the primary focus is on preventing and managing severe infections in patients with severely compromised immune systems.
3. Which of the following is not considered a part of body language?
- A. Mannerisms
- B. Speech
- C. Posture
- D. Position
Correct answer: B
Rationale: Body language encompasses non-verbal communication cues such as mannerisms, posture, and position. Speech, although a form of communication, is not typically classified as part of body language. Body language mainly refers to gestures, facial expressions, and body movements, which convey messages non-verbally.
4. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following interventions should the nurse implement?
- A. Provide a low-sodium diet.
- B. Administer lorazepam as prescribed.
- C. Keep the client in a supine position.
- D. Place the client in restraints as prescribed.
Correct answer: B
Rationale: Administering lorazepam is the appropriate intervention for a client experiencing acute alcohol withdrawal. Lorazepam helps reduce agitation and prevent complications during this withdrawal phase. Choice A, providing a low-sodium diet, is not directly related to managing alcohol withdrawal symptoms. Choice C, keeping the client in a supine position, is not necessary and may not address the client's withdrawal symptoms. Choice D, placing the client in restraints, should only be considered if the client is at risk of harming themselves or others, but it is not the primary intervention for managing alcohol withdrawal.
5. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following is an age-related change that increases the risk for adverse effects from these medications?
- A. Rapid gastric emptying
- B. Prolonged medication half-life
- C. Increased medication elimination
- D. Decreased medication sensitivity
Correct answer: B
Rationale: The correct answer is B: Prolonged medication half-life. As clients age, their metabolism tends to slow down, leading to a prolonged half-life of medications in the body. This extended presence of drugs can increase the risk for adverse effects as the substances accumulate. Choice A, rapid gastric emptying, is not an age-related change and actually decreases the time medications spend in the stomach, potentially reducing their effectiveness. Choice C, increased medication elimination, is not an age-related change either; in fact, aging can lead to decreased renal function, affecting drug elimination. Choice D, decreased medication sensitivity, is not an age-related change that directly increases the risk for adverse effects; rather, it may lead to requiring higher doses for effectiveness but does not inherently increase the risk of adverse effects.
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