ATI RN
ATI Fundamentals Proctored Exam
1. When caring for a toddler with acute lymphocytic leukemia, in which of the following activities should the toddler participate?
- A. Looking at alphabet flashcards.
- B. Playing with a large plastic truck.
- C. Using scissors to cut out paper shapes.
- D. Watching a cartoon in the dayroom.
Correct answer: Playing with a large plastic truck.
Rationale: Toddlers with acute lymphocytic leukemia may have compromised immune systems and need to avoid activities that increase infection risk. Playing with a large plastic truck is a safe and engaging activity that does not pose a high risk of infection. This choice also promotes physical activity and creativity, which are beneficial for a toddler's development during illness.
2. When examining heredity, mental disorders are almost always ________.
- A. influenced by one particular gene.
- B. influenced by multiple genes.
- C. influenced by recessive genes.
- D. not influenced by genes.
Correct answer: B
Rationale: When examining heredity and mental disorders, it is important to note that these conditions are influenced by multiple genes working together. Mental disorders are complex traits that arise from the interplay of various genetic and environmental factors. Therefore, choice B, 'influenced by multiple genes,' is the correct answer. Choice A, 'influenced by one particular gene,' is incorrect because mental disorders typically do not result from the action of a single gene. Choice C, 'influenced by recessive genes,' is incorrect as it oversimplifies the genetic basis of mental disorders. Choice D, 'not influenced by genes,' is also incorrect as genes play a significant role in the development of mental disorders.
3. Which medication should a patient with a history of peptic ulcer disease avoid?
- A. Acetaminophen
- B. Antacids
- C. Nonsteroidal anti-inflammatory drugs
- D. Antihistamines
Correct answer: C
Rationale: Patients with a history of peptic ulcer disease should avoid Nonsteroidal anti-inflammatory drugs (NSAIDs) because they can worsen peptic ulcers due to their effects on the stomach lining. Acetaminophen (Choice A) is a safer alternative for pain relief in such patients as it does not have the same ulcerogenic effects. Antacids (Choice B) can actually help alleviate symptoms by neutralizing stomach acid and are generally safe to use. Antihistamines (Choice D) are not known to exacerbate peptic ulcers and can be used safely for conditions like allergies.
4. A client with acute diverticulitis should have which intervention included in the care plan?
- A. Administer a cleansing enema.
- B. Initiate a low-fiber diet.
- C. Apply moist heat to the abdomen.
- D. Provide a clear liquid diet.
Correct answer: B
Rationale: The correct intervention for a client with acute diverticulitis is to initiate a low-fiber diet. A low-fiber diet helps manage acute diverticulitis by reducing irritation to the colon, allowing it to heal. Administering a cleansing enema (Choice A) can worsen diverticulitis by increasing pressure within the colon. Applying moist heat to the abdomen (Choice C) may provide comfort but does not address the underlying cause. Providing a clear liquid diet (Choice D) is not ideal for diverticulitis management as it lacks the necessary nutrients for healing and may not provide enough bulk to prevent further irritation.
5. Which of the following is an example of a communicable disease?
- A. Diabetes
- B. Hypertension
- C. HIV/AIDS
- D. Cholera
Correct answer: D
Rationale: Cholera is caused by the bacterium Vibrio cholerae and is transmitted through contaminated water or food. It spreads rapidly in areas with poor sanitation and can lead to severe dehydration and even death if untreated. Unlike diabetes and hypertension, which are non-communicable diseases often influenced by lifestyle factors, HIV/AIDS and cholera are infectious diseases that can be transmitted from person to person.
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