ATI RN
ATI RN Custom Exams Set 3
1. A nurse is reviewing the laboratory results for a client with a history of atherosclerosis and notes elevated cholesterol levels. Which statement by the client indicates the nurse should plan follow-up instruction on a low-cholesterol diet?
- A. ''I take an omega-3 supplement daily.''
- B. ''I cook my food with canola oil.''
- C. ''I eat three eggs for breakfast each morning.''
- D. ''I flavor my meat with lemon juice.''
Correct answer: C
Rationale: The correct answer is C. Eating three eggs daily increases cholesterol intake, which could exacerbate atherosclerosis. Omega-3 supplements, cooking with canola oil, and flavoring meat with lemon juice do not significantly impact cholesterol levels compared to consuming three eggs daily. Therefore, the nurse should focus on educating the client to reduce egg consumption to improve cholesterol levels.
2. What is the primary focus of a patient-centered care model?
- A. Cost reduction
- B. Healthcare provider satisfaction
- C. Patient satisfaction
- D. Quality assurance
Correct answer: C
Rationale: The primary focus of a patient-centered care model is on patient satisfaction. This approach emphasizes providing care that is personalized to meet the unique needs and preferences of each patient, fostering a collaborative and respectful partnership between healthcare providers and patients to achieve better health outcomes. While cost reduction (choice A) can be a byproduct of improved outcomes, it is not the primary focus. Healthcare provider satisfaction (choice B) is important but not the primary focus in patient-centered care. Quality assurance (choice D) is crucial but is secondary to patient satisfaction in a patient-centered care model.
3. Which substance dissociates into ions in a water solution?
- A. Intracellular fluid
- B. Interstitial fluid
- C. Plasma
- D. Electrolyte
Correct answer: D
Rationale: The correct answer is 'Electrolyte.' Electrolytes are substances that dissociate into ions when dissolved in water. Intracellular fluid, interstitial fluid, and plasma are not substances that dissociate into ions in a water solution. Intracellular fluid is the fluid inside cells, interstitial fluid is the fluid between cells, and plasma is the liquid component of blood. These choices do not dissociate into ions in a water solution, unlike electrolytes.
4. Which situations are classified as natural disasters?
- A. Blizzards
- B. A, C
- C. Volcanic eruptions
- D. Structural collapse
Correct answer: B
Rationale: The correct answer is B. Blizzards and volcanic eruptions are both examples of natural disasters caused by natural forces such as extreme weather conditions and tectonic activities. On the other hand, structural collapse is typically a result of man-made factors like poor construction or maintenance. Therefore, choices A, C, and D are incorrect as only blizzards and volcanic eruptions are classified as natural disasters.
5. When preparing to insert an intravenous catheter for a 7-year-old child, which of the following actions should a healthcare professional take?
- A. Apply an anesthetic cream to the insertion site 1 hr before the procedure.
- B. Use a 16-gauge needle for the insertion.
- C. Insert the catheter into a vein of the child's dominant hand.
- D. Choose a site over the child's metacarpal veins.
Correct answer: A
Rationale: Applying an anesthetic cream to the insertion site 1 hr before the procedure is crucial when inserting an intravenous catheter in a child to minimize pain and discomfort during the procedure. This practice is especially important in pediatric patients to ensure a more comfortable experience and improve cooperation during the insertion process. Choice B is incorrect as a 16-gauge needle is too large for a child, and a smaller gauge needle is typically used. Choice C is incorrect as the catheter should be inserted into a suitable vein, not specifically the dominant hand vein. Choice D is incorrect as metacarpal veins are usually avoided due to their small size and the potential for complications.