ATI RN
Endocrinology Exam
1. The nurse is caring for a hospitalized client who has AIDS and is severely immune compromised. Which interventions are used to help prevent infection in this client? (Select one that doesn't apply.)
- A. Use sterile gloves and gowns whenever the nursing staff is in contact with the client.
- B. Keep a blood pressure cuff, thermometer, and stethoscope in the client’s room for his or her use only
- C. Request that the family take home the fresh flowers that are at the client’s bedside
- D. Assist the client with meticulous oral care after meals and at bedtime.
Correct answer: Use sterile gloves and gowns whenever the nursing staff is in contact with the client.
Rationale:
2. Which condition is characterized by a harsh, barking cough in children?
- A. Asthma
- B. Bronchiolitis
- C. Croup
- D. Pneumonia
Correct answer: C
Rationale: Croup is the correct answer. It is characterized by a harsh, barking cough due to inflammation of the upper airways, specifically the larynx and trachea. Asthma (Choice A) often presents with wheezing and shortness of breath, not a barking cough. Bronchiolitis (Choice B) typically causes wheezing and respiratory distress in infants. Pneumonia (Choice D) manifests with symptoms such as fever, productive cough, and chest pain, but not usually a barking cough.
3. According to research on family chaos, mothers who __________ experience greater psychological stress.
- A. make family meals
- B. frequently multitask
- C. work outside the home
- D. cosleep with their infants
Correct answer: B
Rationale: According to research on family chaos, mothers who frequently multitask experience greater psychological stress. Multitasking can lead to increased stress levels as individuals juggle multiple responsibilities and tasks simultaneously, leading to a sense of being overwhelmed and unable to focus effectively. This can contribute to higher levels of psychological stress for mothers in particular, impacting their overall well-being. Choices A, C, and D are incorrect because the research specifically links frequent multitasking, not making family meals, working outside the home, or cosleeping with infants, to greater psychological stress among mothers.
4. In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information?
- A. Limit fluids to reduce reflux.
- B. Give cranberry juice twice a day.
- C. Have siblings examined for VUR.
- D. Surgery is indicated to reverse scarring.
Correct answer: C
Rationale: Siblings should be examined for VUR as it can run in families, and early detection can prevent complications. Limiting fluids is not advisable, and cranberry juice is not effective in preventing VUR. Surgery is usually not indicated for scarring reversal.
5. Legally, Patients chart are:
- A. Owned by the government since it is a legal document
- B. Owned by the doctor in charge and should be kept from the administrator for whatever reason
- C. Owned by the hospital and should not be given to anyone who request it other than the doctor in charge
- D. Owned by the patient and should be given by the nurse to the client as requested
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
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