ATI RN
ATI RN Custom Exams Set 5
1. In patients receiving chemotherapy, which nutrient is often supplemented to manage mucositis?
- A. Vitamin E
- B. Vitamin B12
- C. Zinc
- D. Calcium
Correct answer: C
Rationale: Zinc supplementation is often recommended to manage mucositis in patients undergoing chemotherapy. Zinc plays a crucial role in wound healing and immune function, which can help alleviate the symptoms of mucositis. Vitamin E (Choice A) is known for its antioxidant properties but is not typically used to manage mucositis. Vitamin B12 (Choice B) is important for red blood cell production and nerve function but is not directly associated with mucositis management. Calcium (Choice D) is essential for bone health and muscle function but is not a primary nutrient supplemented to manage mucositis.
2. The nurse is analyzing laboratory values for the assigned clients. Which finding, based on the client's medical history, indicates the need for immediate follow-up?
- A. Client with chronic kidney disease and serum creatinine of 1.6 mg/dL
- B. Client with diabetes mellitus and a glycosylated hemoglobin A1c (HbA1c) of 7.0%
- C. Client with heart failure and a B-type natriuretic peptide (BNP) of 140 pg/mL
- D. Client who is male and has anemia with hemoglobin of 16.5 g/dL and hematocrit of 45%
Correct answer: B
Rationale: An HbA1c of 7.0% in a client with diabetes mellitus indicates poor long-term glucose control, necessitating immediate follow-up. Choice A, chronic kidney disease with a serum creatinine of 1.6 mg/dL, though concerning, does not indicate an immediate need for follow-up. Choice C, heart failure with a BNP of 140 pg/mL, may require monitoring but not immediate follow-up. Choice D, a male client with anemia and normal hemoglobin and hematocrit levels, does not warrant immediate attention based on the provided information.
3. Determining nursing care priorities is a part of which of the following steps for determining and fulfilling the nursing care needs of the patient?
- A. Evaluation
- B. Planning
- C. Implementation
- D. Assessment
Correct answer: B
Rationale: Corrected Rationale: Planning in nursing involves setting priorities based on the identified patient needs, establishing goals, and developing a plan of care. Evaluation involves assessing the effectiveness of the care provided, implementation is the phase where the care plan is carried out, and assessment is the initial step of collecting data to identify the patient's needs. Therefore, in the context of determining nursing care priorities, the correct step is Planning (choice B).
4. During the admission interview, which question should the nurse ask the male client diagnosed with aorto-iliac disease?
- A. “Do you have trouble sitting for long periods of time?”
- B. “How often do you have a bowel movement and urinate?”
- C. “When you lie down do you feel throbbing in your abdomen?”
- D. “Have you experienced any problems having sexual intercourse?”
Correct answer: D
Rationale: The correct answer is D: “Have you experienced any problems having sexual intercourse?” Aorto-iliac disease can lead to impaired blood flow to the pelvis and lower extremities, potentially causing sexual dysfunction. The other choices (A, B, and C) are less relevant to the specific effects of aorto-iliac disease on the client's health. While choice A may relate to discomfort, it does not directly address the impact of the disease on sexual function. Choices B and C are more general and do not specifically target the potential issues related to aorto-iliac disease.
5. The nurse is teaching the client with peripheral vascular disease. Which intervention should the nurse discuss with the client?
- A. Keep the area between the toes dry.
- B. Wear comfortable, well-fitting shoes.
- C. Cut toenails straight across.
- D. A,B
Correct answer: D
Rationale: The correct interventions for a client with peripheral vascular disease include keeping the area between the toes dry to prevent moisture-related skin issues and wearing comfortable, well-fitting shoes to prevent injury and promote circulation. Cutting toenails straight across is important to prevent ingrown toenails, but in this case, an arch cut can lead to injury. Therefore, choices A and B are correct, making option D the most appropriate answer. Choice C is incorrect in this context.