ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What is the nurse’s priority action for a client with compromised immunity?
- A. Wash hands before entering the client’s room
- B. Take the client’s vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct answer: Wash hands before entering the client’s room
Rationale:
2. School phobia among kids may be a form of?
- A. Occurs every time when one is in a certain situation
- B. Occurs most of the time when one is in a specific situation
- C. Be unexpected
- D. Expected
Correct answer: C
Rationale: The correct answer is C: 'Be unexpected.' School phobia in children is often associated with separation anxiety disorder, leading to unexpected and intense fear or anxiety about attending school. Choices A and B are incorrect because school phobia does not necessarily occur every time or most of the time when in a specific situation; it is more about the unexpected fear related to attending school. Choice D is also incorrect because school phobia is characterized by an unexpected and overwhelming fear of school, not an expected or anticipated reaction.
3. During a health promotion program on testicular cancer, a community health nurse finds that more information is necessary if a community member says which of the following is a sign of testicular cancer?
- A. Alopecia
- B. Back pain
- C. Painless testicular swelling
- D. Heavy sensation in the scrotum
Correct answer: A
Rationale: The correct answer is A, 'Alopecia.' Alopecia is not a sign of testicular cancer; it can occur due to chemotherapy. Back pain (choice B) is not typically associated with testicular cancer. Painless testicular swelling (choice C) and a heavy sensation in the scrotum (choice D) can be actual signs of testicular cancer, so they do not require further information.
4. The healthcare provider is explaining to a 17-year-old female the actions to prevent urinary tract infection. Which is the best beverage for the healthcare provider to recommend to keep urine acidic?
- A. Milk
- B. Grape juice
- C. Apple juice
- D. Orange juice
Correct answer: C
Rationale: To maintain the acidity of urine and potentially prevent urinary tract infections, juices such as apple or cranberry are recommended due to their ability to create an acidic environment in the urinary tract that may help inhibit bacterial growth.
5. The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a breast tumor marking test and the results have come back positive. As a result, the patient is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic surgery?
- A. Salvage surgery
- B. Palliative surgery
- C. Prophylactic surgery
- D. Reconstructive surgery
Correct answer: C
Rationale: Prophylactic surgery refers to the preventive removal of tissues or organs at high risk for developing cancer, even when no cancer is currently present. In this case, the patient has a positive breast tumor marking test and a significant family history of breast cancer, which places her at increased risk for developing the disease. A bilateral mastectomy is performed to significantly reduce this risk by removing both breasts, thereby preventing the potential future occurrence of breast cancer.
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