ATI RN
ATI RN Custom Exams Set 5
1. During peacetime, most CONUS hospital military personnel are organized into what type of organization?
- A. DVA
- B. TOE
- C. TDA
- D. NDMS
Correct answer: C
Rationale: During peacetime, most CONUS hospital military personnel are organized under a Table of Distribution and Allowances (TDA) structure. This organizational type outlines the personnel positions and equipment allocation within a unit. Choice A, 'DVA,' refers to the Department of Veterans Affairs and is not the organizational structure for military hospital personnel. Choice B, 'TOE,' stands for Table of Organization and Equipment which is more commonly used in a wartime setting to define unit structure and equipment requirements. Choice D, 'NDMS,' refers to the National Disaster Medical System which is not the typical organization for CONUS hospital military personnel during peacetime.
2. Which term describes a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria?
- A. Atrial fibrillation
- B. Ventricular fibrillation
- C. Atrial flutter
- D. Sinus tachycardia
Correct answer: A
Rationale: The correct answer is Atrial fibrillation. Atrial fibrillation is indeed a type of abnormal heart rhythm characterized by rapid and irregular beating of the atria. This condition can increase the risk of stroke and heart failure. Choice B, Ventricular fibrillation, is incorrect because it refers to a life-threatening arrhythmia that occurs in the ventricles, not the atria. Choice C, Atrial flutter, is incorrect as it describes a different type of atrial arrhythmia characterized by a regular but fast heartbeat. Choice D, Sinus tachycardia, is incorrect because it is a normal increase in heart rate originating from the sinus node, not an abnormal rhythm.
3. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?
- A. Plain popcorn
- B. Grapes
- C. Raw carrots
- D. Cheese
Correct answer: D
Rationale: Cheese is a safe and nutritious option for toddlers, providing calcium and protein without choking hazards.
4. A client has had vomiting and diarrhea for the past 3 days. Which of the following findings indicates the client is experiencing fluid volume deficit?
- A. Jugular vein distention
- B. Bradycardia
- C. Increased respiratory rate
- D. Bounding pulses
Correct answer: C
Rationale: An increased respiratory rate is a sign of fluid volume deficit as the body attempts to compensate for decreased blood volume. Jugular vein distention, bradycardia, and bounding pulses are not typical findings of fluid volume deficit. Jugular vein distention is more commonly associated with fluid volume overload, bradycardia can be a sign of fluid volume excess or other issues, and bounding pulses are not typically seen in fluid volume deficit.
5. A client with a history of prostate cancer is in the clinic and reports new onset of severe low back pain. What action by the nurse is most important?
- A. Assess the client’s gait and balance.
- B. Ask the client about any changes in urinary symptoms.
- C. Document the report thoroughly.
- D. Inquire about the client’s recent activities.
Correct answer: A
Rationale: The correct action by the nurse is to assess the client’s gait and balance. Severe low back pain in a client with a history of prostate cancer may indicate spinal cord compression, a serious complication. Assessing gait and balance can help determine if there is any spinal cord involvement, which requires immediate medical attention. Asking about changes in urinary symptoms (choice B) is important to assess for possible urinary obstruction, but assessing gait and balance takes precedence due to the risk of spinal cord compression. Documenting the report thoroughly (choice C) is essential but not the most immediate action needed. Inquiring about recent activities (choice D) is not as critical as assessing for spinal cord involvement.