ATI RN
ATI Pathophysiology Exam 1
1. What is the best method to identify which type of stroke the client has?
- A. Obtain a 12-lead electrocardiogram STAT
- B. Obtain a blood specimen for electrolytes and blood cultures
- C. Ask the client about current allergies
- D. Obtain a cranial computerized tomogram (CT) STAT
Correct answer: D
Rationale: The correct answer is to obtain a cranial computerized tomogram (CT) STAT. A cranial CT scan is the best method to quickly identify the type of stroke a client is experiencing. Options A, B, and C are not appropriate for identifying the type of stroke as they are not specific to assessing stroke types.
2. A client with iron deficiency anemia has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include?
- A. Take with a glass of milk to prevent stomach upset.
- B. Take with orange juice to enhance absorption.
- C. Take on an empty stomach to increase absorption.
- D. Take with food to reduce gastrointestinal upset.
Correct answer: C
Rationale: The correct instruction is to take ferrous sulfate on an empty stomach to increase absorption. This is because taking it with food or dairy products like milk can reduce its absorption. Orange juice is not recommended as it may interfere with the absorption of iron. Taking ferrous sulfate on an empty stomach may cause gastrointestinal upset, but this can be minimized by gradually increasing the dose.
3. Which of the following foods provides the most protein?
- A. Beans
- B. Red peppers
- C. Asparagus
- D. Celery
Correct answer: A
Rationale: The correct answer is A, Beans. Beans are known to be a good source of protein compared to the other options provided. While red peppers, asparagus, and celery are nutritious vegetables, they do not contain as much protein as beans do. Red peppers are high in vitamin C, asparagus is rich in vitamins and minerals, and celery is low in calories and a good source of fiber, but they are not significant sources of protein.
4. A healthcare professional is caring for a young adult client with a serum calcium level of 8.8 mg/dL. Which of the following medications should the professional anticipate administering to this client?
- A. Calcitonin-salmon
- B. Calcium carbonate
- C. Zoledronic acid
- D. Ibandronate
Correct answer: B
Rationale: The client's serum calcium level is below the expected reference range, indicating hypocalcemia. Calcium carbonate, an oral form of calcium, is used to increase serum calcium levels to the expected range in cases of hypocalcemia. It helps correct the deficiency by supplementing calcium in the body.
5. When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant?
- A. Assessing the client’s bowel sounds
- B. Providing skin care following bowel movements
- C. Evaluating the client’s response to antidiarrheal medications
- D. Maintaining intake and output records
Correct answer: B, D, E
Rationale: Delegating tasks such as providing skin care, maintaining intake and output records, and obtaining the client's weight are within the scope of practice for an unlicensed assistant. Assessing bowel sounds and evaluating the response to medications require nursing judgment and should not be delegated.
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