ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What client is a susceptible host most at risk for infection?
- A. A client with leukemia
- B. A hospitalized 35-year-old-client
- C. A child who is immunized
- D. A 60-year-old client
Correct answer: A client with leukemia
Rationale:
2. The nurse manager needs to buy six new hospital beds for the unit. What type of budget will be used for this expenditure?
- A. Operating budget
- B. Capital budget
- C. Salary budget
- D. Revenue budget
Correct answer: B
Rationale: The correct answer is B: Capital budget. The capital budget is used for expenditures related to physical renovations, new construction, and new equipment, such as hospital beds. Operating budget (choice A) focuses on day-to-day expenses like supplies and staffing. Salary budget (choice C) pertains specifically to personnel compensation. Revenue budget (choice D) deals with projected income and financial goals, not capital expenditures like purchasing new hospital beds.
3. An adolescent client has a new prescription for Clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of this medication?
- A. Wear sunglasses when outdoors.
- B. Check your temperature daily.
- C. Take this medication in the morning.
- D. Add extra calories to your diet.
Correct answer: A
Rationale: To minimize the adverse effect of photophobia associated with Clomipramine, the client should be advised to wear sunglasses when outdoors. Clomipramine is a tricyclic antidepressant (TCA) known to cause anticholinergic effects like photophobia, which can be reduced by protecting the eyes with sunglasses when exposed to bright light. Choices B, C, and D are incorrect because checking temperature daily, taking the medication in the morning, and adding extra calories to the diet are not specifically related to minimizing the adverse effect of photophobia caused by Clomipramine.
4. A client with a new diagnosis of diabetes mellitus is being taught about foot care. What instruction should the nurse include?
- A. Apply lotion between the toes after bathing
- B. Wear shoes at all times
- C. Cut toenails in a rounded shape
- D. Inspect the feet weekly
Correct answer: B
Rationale: The correct answer is to wear shoes at all times. This instruction is vital for clients with diabetes mellitus as it helps protect the feet and reduces the risk of injury. Option A is incorrect as applying lotion between the toes can increase moisture and the risk of fungal infections. Option C is incorrect as cutting toenails in a rounded shape may lead to ingrown toenails. Option D is also incorrect as inspecting the feet weekly is not sufficient for proper foot care in clients with diabetes mellitus.
5. A nurse is presenting educational materials for a group of middle-aged clients about menopausal hormone therapy following a total hysterectomy. Which of the following information should the nurse include?
- A. Take at different times of the day
- B. Prevents from having a cerebral hemorrhage
- C. Prevents osteoporotic fractures
- D. Take an extra dose if missed a day
Correct answer: C
Rationale: The correct information the nurse should include is that menopausal hormone therapy helps prevent osteoporotic fractures by maintaining bone density. Option A is incorrect as hormone therapy should be taken consistently at the same time each day for optimal effectiveness. Option B is incorrect as menopausal hormone therapy is not primarily aimed at preventing cerebral hemorrhage. Option D is incorrect because taking an extra dose is not recommended if a dose is missed; instead, the missed dose should be taken as soon as remembered, unless it is close to the time for the next dose.
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