ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A nurse is admitting a client who has tuberculosis. What transmission-based precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct answer: Airborne
Rationale:
2. A diet high in which nutrient can lead to increased risk of developing kidney stones?
- A. Fiber
- B. Protein
- C. Carbohydrates
- D. Unsaturated fats
Correct answer: B
Rationale: High protein intake can increase the risk of kidney stones due to elevated calcium excretion.
3. 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.
4. When teaching a client with a prescription for Cephalexin, which of the following instructions should the nurse include?
- A. Take the medication with an antacid.
- B. Avoid dairy products while taking this medication.
- C. Expect your stools to turn black.
- D. Complete the full course of medication.
Correct answer: D
Rationale: The correct instruction for a client prescribed with Cephalexin is to complete the full course of medication. This is crucial to ensure the infection is completely treated and to reduce the risk of antibiotic resistance. Choices A, B, and C are incorrect. Taking Cephalexin with an antacid is generally not recommended as it may reduce its effectiveness. While dairy products can interfere with certain antibiotics, they do not have a direct interaction with Cephalexin. Stools turning black is not an expected side effect of Cephalexin.
5. Finding meaning in life and dealing with death form core values in which of the following perspectives?
- A. Existential
- B. Humanistic
- C. Behavioral
- D. Object Relations
Correct answer: A
Rationale: The correct answer is A: Existential. Existentialism is a philosophical perspective that emphasizes individual existence, freedom, and choice. It focuses on finding meaning in life and dealing with fundamental issues such as death. This perspective is characterized by concepts like authenticity, responsibility, and the search for purpose. Choices B, C, and D are incorrect because while they may address certain aspects of human behavior or relationships, they do not specifically emphasize the search for meaning and the confrontation with death as core values.
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