ATI RN
ATI RN Custom Exams Set 5
1. Which drugs contribute to peptic ulcers?
- A. Antacids
- B. Certain antibiotics
- C. Cholesterol-lowering medications
- D. Nonsteroidal anti-inflammatory drugs
Correct answer: D
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to contribute to the development of peptic ulcers by affecting the protective lining of the stomach and increasing stomach acid production. This can lead to irritation and ulcer formation. Antacids are actually used to relieve symptoms of peptic ulcers by neutralizing stomach acid. Certain antibiotics may be prescribed to treat H. pylori infection, a common cause of peptic ulcers. Cholesterol-lowering medications are not typically associated with causing peptic ulcers.
2. A client who _____ diet requires _____ amounts of vitamin C.
- A. Follows a vegan diet
- B. Smokes cigarettes
- C. Follows a vegetarian diet
- D. Follows a ketogenic diet
Correct answer: B
Rationale: Clients who smoke require more vitamin C due to increased oxidative stress and depletion of vitamin C. Smoking leads to the generation of free radicals in the body, causing oxidative stress and consuming higher levels of antioxidants like vitamin C. Choices A, C, and D are incorrect as they do not directly relate to the increased need for vitamin C as seen in smokers.
3. Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison’s disease?
- A. Discuss the importance of tapering medications when discontinuing medication
- B. Explain that the dose will need to be decreased during times of stress or infection
- C. Instruct the client to take medication on an empty stomach with a glass of water
- D. Encourage the client to wear a MedicAlert bracelet and carry a card in the wallet
Correct answer: A
Rationale: The correct answer is to discuss the importance of tapering medications when discontinuing medication. Tapering glucocorticoids is crucial to prevent adrenal insufficiency, which can occur if the medication is stopped abruptly. Choice B is incorrect because it focuses on adjustments during stress or infection, not discontinuation. Choice C is unrelated to the management of glucocorticoids. Choice D is important for emergency identification but is not directly related to medication management.
4. Which of the following grains is acceptable for someone with celiac disease?
- A. Rice
- B. Rye
- C. Wheat
- D. Barley
Correct answer: A
Rationale: The correct answer is A: Rice. Rice is a gluten-free grain, making it safe for individuals with celiac disease. Choices B, C, and D (Rye, Wheat, and Barley) contain gluten and are not suitable for individuals with celiac disease, as gluten can trigger adverse reactions in their bodies.
5. The nurse cares for a client receiving furosemide (Lasix). The nurse determines that teaching is effective if the client selects which of the following foods?
- A. One medium baked potato
- B. One slice of white bread
- C. One medium apple
- D. One scrambled egg
Correct answer: A
Rationale: The correct answer is A: One medium baked potato. Potatoes are high in potassium, which is crucial for clients on furosemide (Lasix) to prevent hypokalemia, as furosemide can cause potassium loss. White bread (choice B) and scrambled egg (choice D) are not high-potassium foods and do not address the specific need related to furosemide therapy. While apples (choice C) contain some potassium, they are not as rich in potassium as a baked potato, making them a less optimal choice for a client on furosemide.