ATI RN
ATI RN Custom Exams Set 2
1. The nurse counsels a client diagnosed with iron deficiency anemia. The nurse determines that teaching is effective if the client selects which of the following menus?
- A. Roast beef, brown rice, green beans, carrot and raisin salad, and milk
- B. Cheese pizza, tossed green salad, oatmeal-raisin cookie, and lemonade
- C. Two scrambled eggs, bacon, white toast with strawberry jam, and coffee
- D. Corn flakes with milk, whole wheat toast, and orange juice
Correct answer: A
Rationale: The correct answer is A. Roast beef is high in heme iron, which is best absorbed and helps treat iron deficiency anemia. Choices B, C, and D do not contain significant sources of iron, especially heme iron, making them less effective in treating iron deficiency anemia.
2. Angie is a disoriented client who frequently falls from the bed. As her nurse, which of the following is the best nursing intervention to prevent future falls?
- A. Tell Angie not to get up from bed unassisted
- B. Put the call bell within her reach
- C. Put bedside commode at the bedside to prevent Angie from getting up
- D. Put the bed in the lowest position ever
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
3. Which food is recommended for a client trying to increase their intake of calcium?
- A. Apples
- B. Yogurt
- C. Chicken
- D. Pasta
Correct answer: B
Rationale: Yogurt is high in calcium, which is essential for bone health.
4. Which of the following is not directly related to drug toxicity of Nitroglycerin?
- A. Headaches
- B. Tachycardia
- C. Dizziness
- D. Projectile vomiting
Correct answer: D
Rationale: Headaches, tachycardia, and dizziness are common side effects of nitroglycerin due to its vasodilatory properties. Projectile vomiting is not typically associated with nitroglycerin toxicity, making it the correct answer. Therefore, option D is the correct choice.
5. A nurse is providing discharge teaching to a client with a new diagnosis of hypertension. What instruction should the nurse include?
- A. Reduce sodium intake to 4 grams per day
- B. Avoid foods high in potassium
- C. Take prescribed antihypertensive medications daily
- D. Limit fluid intake to 1 liter per day
Correct answer: C
Rationale: The correct answer is C: 'Take prescribed antihypertensive medications daily.' When providing discharge teaching to a client with hypertension, one of the key instructions is to ensure the consistent intake of prescribed antihypertensive medications. This is crucial for controlling blood pressure levels and reducing the risk of complications associated with hypertension. Choices A, B, and D are incorrect because reducing sodium intake, avoiding foods high in potassium, and limiting fluid intake are important dietary modifications for various health conditions, but they are not the priority when it comes to managing hypertension. The primary focus should be on medication adherence to effectively manage hypertension.