ATI RN
ATI RN Custom Exams Set 2
1. The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and ascites. The nurse explains to the client that this is administered to:
- A. Provide nutrients
- B. Increase protein stores
- C. Elevate the circulating blood volume
- D. Divert blood flow away from the liver temporarily
Correct answer: C
Rationale: The correct answer is C: Elevate the circulating blood volume. Salt-poor albumin is given to increase the circulating blood volume, which helps reduce ascites by improving fluid distribution within the body. Choices A, B, and D are incorrect because salt-poor albumin is not administered to provide nutrients, increase protein stores, or divert blood flow away from the liver.
2. Which psychosexual stage focuses on castration anxiety?
- A. Genital
- B. Oral
- C. Anal
- D. Phallic
Correct answer: D
Rationale: Castration anxiety is a concept from Freudian psychoanalytic theory that occurs during the Phallic stage. This stage occurs between 3 to 6 years of age and is when children experience conflicts related to the Oedipus complex (boys) and Electra complex (girls). During this stage, children may fear castration (in boys) or penis envy (in girls), which are crucial components of castration anxiety. Therefore, the correct answer is Phallic. The other options (A: Genital, B: Oral, C: Anal) are incorrect as they do not specifically involve castration anxiety but rather represent different stages in Freud's psychosexual development theory.
3. In the information-processing system, where does information first enter?
- A. central executive
- B. short-term memory store
- C. sensory register
- D. long-term memory store
Correct answer: C
Rationale: In the information-processing system, information first enters the sensory register. This is where sensory information from the environment is briefly stored before being processed further. The central executive is responsible for coordinating cognitive processes, the short-term memory store holds information temporarily for immediate tasks, and the long-term memory store stores information for long periods, but the sensory register is the initial entry point for incoming information.
4. A nurse in the PACU is assessing a client who has an endotracheal tube (ET) in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
- A. Blockage of the ET tube by the client's tongue
- B. Passage of the ET tube into the esophagus
- C. Movement of the ET tube into the right main bronchus
- D. Infection of the vocal cords
Correct answer: C: Movement of the ET tube into the right main bronchus
Rationale: When the nurse observes the absence of left-sided chest wall expansion upon respiration, it indicates that the endotracheal tube (ET) may have migrated into the right main bronchus, leading to uneven chest expansion. This can result in inadequate ventilation to the left lung, causing respiratory compromise. The other options, such as blockage of the ET tube by the client's tongue, passage of the ET tube into the esophagus, and infection of the vocal cords, do not directly explain the observed chest wall asymmetry and respiratory distress.
5. The provider orders the client to be placed in a high-Fowler's position. At what angle will the nurse position the client?
- A. 15 degrees
- B. 0 degrees
- C. 90 degrees
- D. 30 degrees
Correct answer: C
Rationale: The correct answer is C: 90 degrees. In a high-Fowler's position, the client's head of the bed is raised to a 90-degree angle. This positioning helps improve breathing and facilitates eating and talking. Choice A, 15 degrees, is incorrect as it is not high enough to be considered a high-Fowler's position. Choice B, 0 degrees, is incorrect as it represents a flat or supine position. Choice D, 30 degrees, is also incorrect as it does not meet the criteria for a high-Fowler's position.