ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?
- A. The client with AIDS is a susceptible host
- B. The client with AIDS has greater immune defenses
- C. The client with AIDS was not as careful
- D. The client with AIDS has more portals of entry
Correct answer: The client with AIDS is a susceptible host
Rationale:
2. A healthcare professional in an emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the healthcare professional take first?
- A. Obtain a baseline ECG.
- B. Obtain a blood specimen for ABG analysis.
- C. Insert an 18-gauge IV catheter.
- D. Administer 100% humidified oxygen.
Correct answer: Administer 100% humidified oxygen.
Rationale: In a client experiencing drooling and hoarseness following a burn injury, airway compromise is a critical concern. Administering 100% humidified oxygen is the priority to ensure adequate oxygenation. This intervention takes precedence over obtaining baseline ECG, obtaining blood specimens, or inserting an IV catheter, as airway management and oxygenation are fundamental in the initial assessment and management of a client with potential airway compromise.
3. A patient is receiving intravenous amphotericin. Which of the following assessments warrants the discontinuation of the antifungal agent?
- A. Sodium level of 138 mEq/L
- B. Hematocrit of 39%
- C. Blood urea nitrogen of 60 mg/dL
- D. AST level of 10 Unit/L
Correct answer: C
Rationale: Intravenous amphotericin can cause nephrotoxicity, leading to increased blood urea nitrogen levels. Elevated blood urea nitrogen (BUN) indicates impaired renal function, which is a known adverse effect of amphotericin. Therefore, a BUN level of 60 mg/dL warrants the discontinuation of the antifungal agent. The other options, such as a sodium level of 138 mEq/L, hematocrit of 39%, and AST level of 10 Unit/L, are within normal ranges and not indicative of the need to discontinue amphotericin therapy.
4. Alfred Binet and Theodore Simon __________.
- A. wrote the first book of its time on aging
- B. were among the first to make child development knowledge meaningful to parents
- C. regarded development as a maturational process
- D. constructed the first successful intelligence test Answer: D Page Ref: 14 Skill Level: Remember Topic: Scientific Beginnings Difficulty Level: Moderate
Correct answer: D
Rationale: Alfred Binet and Theodore Simon constructed the first successful intelligence test, known as the Binet-Simon scale, in an effort to measure a child's intelligence level. This test was groundbreaking at the time and laid the foundation for the development of future intelligence tests.
5. In terms of gross motor development, what should the nurse expect an infant age 5 months to do?
- A. Sit erect without support
- B. Roll from the back to the abdomen
- C. Turn from the abdomen to the back
- D. Move from a prone to a sitting position
Correct answer: C
Rationale: At 5 months, infants typically can turn from their abdomen to their back. Rolling from back to abdomen and sitting erect without support occur later.
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