ATI RN
ATI RN Custom Exams Set 5
1. Neomycin may decrease absorption of which nutrient?
- A. Iron, copper, and zinc
- B. Protein and amino acids
- C. Fat-soluble vitamins
- D. Water-soluble vitamins
Correct answer: C
Rationale: The correct answer is C: Fat-soluble vitamins. Neomycin is known to interfere with the absorption of fat-soluble vitamins. This is because neomycin can disrupt the normal gut flora responsible for the absorption of these vitamins. Choices A, B, and D are incorrect because neomycin primarily affects the absorption of fat-soluble vitamins, not minerals, proteins, amino acids, or water-soluble vitamins.
2. During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is which?
- A. Abnormal and requires further investigation
- B. Abnormal unless it occurs in conjunction with knock-knee
- C. Normal if the condition is unilateral or asymmetric
- D. Normal because the lower back and leg muscles are not yet well developed
Correct answer: D
Rationale: Bowleggedness is normal in toddlers due to the development of lower back and leg muscles. It usually resolves as the child grows.
3. The nurse is administering enoxaparin (Lovenox) to a client. What is the most important lab value to monitor?
- A. Platelet count
- B. Hemoglobin
- C. White blood cell count
- D. aPTT
Correct answer: A
Rationale: The correct answer is A: Platelet count. When administering enoxaparin, it is crucial to monitor the platelet count because enoxaparin can lead to a rare but serious side effect known as thrombocytopenia, which is a decrease in platelet levels. Monitoring the platelet count helps in detecting this adverse effect early. Choices B, C, and D are incorrect because hemoglobin, white blood cell count, and aPTT are not the most important lab values to monitor specifically for enoxaparin administration.
4. When interviewing a new member of the psychology department for the university newspaper, the faculty member states, 'Internal states undoubtedly exist, but it is not necessary to draw inferences about unobservable states in order to understand behavior.' This faculty member's views are most similar to the views held by?
- A. William James.
- B. F. Skinner.
- C. Sigmund Freud.
- D. Carl Rogers.
Correct answer: B
Rationale: F. Skinner's views emphasized the importance of observable behavior and dismissed the need to infer unobservable mental states. This aligns with the faculty member's statement that internal states exist but are not essential for understanding behavior. William James, known for his work in functionalism, did consider internal mental states important. Sigmund Freud focused on unconscious motives and internal conflicts. Carl Rogers emphasized the importance of subjective experiences and personal growth, which differs from the faculty member's perspective.
5. A client with obsessive-compulsive disorder (OCD) spends hours each day washing her hands. Which intervention should the nurse implement to help the client reduce this behavior?
- A. Encourage the client to set a time limit for washing hands.
- B. Encourage the client to wash hands only when necessary.
- C. Encourage the client to use hand sanitizer instead of washing.
- D. Encourage the client to explore the reasons behind the hand washing.
Correct answer: A
Rationale: Setting a time limit for hand washing is an effective intervention in managing obsessive-compulsive disorder (OCD) symptoms. By establishing boundaries around the behavior, the client can gradually work towards reducing the excessive hand washing and regaining control over the compulsion. Choice B is not as effective because it does not address the underlying compulsion. Choice C may not be helpful as it may not satisfy the client's need for cleanliness and could reinforce the behavior. Choice D, while important in therapy, may not be the most immediate intervention needed to address the excessive hand washing behavior.