ATI RN
ATI RN Custom Exams Set 1
1. The client is recovering from a percutaneous renal biopsy. Which data indicate that the client is complying with client teaching?
- A. The client lies flat in the supine position for 12 hours
- B. The client continues oral fluids restriction while on bed rest
- C. The client’s family changed the dressing on return to the room
- D. The family activates the patient-controlled analgesia pump
Correct answer: A
Rationale: The correct answer is A. Lying flat in the supine position for 12 hours after a renal biopsy helps prevent bleeding, which is crucial for the client's recovery. This position aids in applying pressure to the biopsy site, reducing the risk of bleeding and ensuring optimal healing. Choices B, C, and D do not directly relate to compliance with client teaching after a renal biopsy. Continuing oral fluids restriction, changing the dressing, or activating a patient-controlled analgesia pump are not specific instructions aimed at promoting recovery and preventing complications post renal biopsy.
2. A client is being assessed by a nurse after being diagnosed with anorexia nervosa. Which of the following findings should the nurse expect?
- A. Weight gain and increased appetite
- B. Lanugo on the face and back
- C. Increased body temperature and tachycardia
- D. Hyperactivity and distractibility
Correct answer: B
Rationale: In anorexia nervosa, individuals often develop lanugo, fine soft hair, on the face and back. This is a physiological response to the body's attempt to conserve heat due to a lack of subcutaneous fat. It is a common physical finding in clients with anorexia nervosa and can be a sign of severe malnutrition. Choices A, C, and D are incorrect because weight gain and increased appetite, increased body temperature and tachycardia, and hyperactivity and distractibility are not typically associated with anorexia nervosa. In fact, weight loss, decreased appetite, hypothermia, and bradycardia are more commonly seen in individuals with anorexia nervosa.
3. A 31-year-old client is seeking contraceptive information. Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?
- A. More than 30 years of age
- B. Had two multiple pregnancies
- C. Smokes 1 pack of cigarettes a day
- D. Has a history of borderline hypertension
Correct answer: C
Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A (More than 30 years of age) is not a direct contraindication for oral contraceptives. Choice B (Had two multiple pregnancies) is not a factor that contraindicates the use of oral contraceptives. Choice D (Has a history of borderline hypertension) is not a specific contraindication for oral contraceptives unless it is severe or uncontrolled hypertension.
4. Which is an effective strategy for addressing health disparities?
- A. Providing universal health coverage
- B. Increasing health care funding
- C. Implementing health education programs
- D. Improving access to health care
Correct answer: D
Rationale: Improving access to health care is a crucial strategy for addressing health disparities because it ensures that all individuals, regardless of their backgrounds or circumstances, have the opportunity to receive the necessary care they need. By enhancing access to healthcare services, underserved populations can overcome barriers to obtaining crucial medical assistance, ultimately reducing health disparities and promoting better health outcomes for everyone.
5. What did Freud believe about castration anxiety among boys?
- A. Results in penis envy.
- B. Dissolves the Oedipus complex.
- C. Cognitive; learning.
- D. Biological; ecological.
Correct answer: B
Rationale: Freud believed that castration anxiety among boys leads to the resolution of the Oedipus complex, not penis envy or cognitive learning. The Oedipus complex is a central psychodynamic concept in Freudian theory, where boys develop unconscious desires for their mothers and view their fathers as rivals, fearing castration by their fathers as a consequence.