ATI RN
Multi Dimensional Care | Final Exam
1. What medication class can decrease tissue inflammation but delays bone healing?
- A. Anticoagulants
- B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
- C. Opioids
- D. Narcotics
Correct answer: B
Rationale: The correct answer is B: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation but may delay bone healing. Anticoagulants (Choice A) are used to prevent blood clotting, opioids (Choice C) are pain relievers, and narcotics (Choice D) are drugs that affect the central nervous system. While all the choices may have their own indications and uses in healthcare, NSAIDs are specifically associated with delaying bone healing despite their anti-inflammatory properties.
2. A client with renal calculi is admitted. What is the priority nursing intervention?
- A. Monitor urinary output every shift.
- B. Administer pain medication as ordered.
- C. Strain all urine for stones.
- D. Increase fluid intake to flush the urinary tract.
Correct answer: C
Rationale: The correct answer is to strain all urine for stones. This is the priority nursing intervention for a client with renal calculi as it helps in identifying and preventing stones from passing unnoticed. Monitoring urinary output, administering pain medication, and increasing fluid intake are important aspects of care for this client, but the priority is to ensure that any passed stones are collected and analyzed to guide further treatment.
3. What is the name of the record that shows all medications and treatments provided on a repeated basis?
- A. Nursing Health History and Assessment Worksheet
- B. Discharge Summary
- C. Nursing Kardex
- D. Medicine and Treatment Record
Correct answer: D: Medicine and Treatment Record
Rationale: The 'Medicine and Treatment Record' is the document that maintains a comprehensive log of all medications and treatments provided on a routine basis. It does not refer to the 'Discharge Summary', which is a clinical report prepared by healthcare professionals at the end of a hospital stay or series of treatments. The 'Nursing Health History and Assessment Worksheet' is used to gather comprehensive data about the patient's health history and current health status, but it does not record ongoing treatment details. The 'Nursing Kardex' is a patient care information system used to quickly communicate patient needs, but it does not consistently record all medications and treatments provided.
4. Which of the following diets is most commonly associated with colon cancer?
- A. Low-fiber, high fat
- B. Low-fat, high-fiber
- C. Low-protein, high-carbohydrate
- D. Low carbohydrate, high protein
Correct answer: A
Rationale: A low-fiber, high-fat diet is most commonly associated with an increased risk of colon cancer.
5. A female client with deteriorating neurologic function states, “I am worried I will not be able to care for my young children.” How does the nurse respond?
- A. “Caring for your children is a priority. You may not want to ask for help, but you have to.”
- B. “Our community has resources that may help you with some household tasks so you have energy to care for your children.”
- C. “You seem distressed. Would you like to talk to a psychologist about adjusting to your changing status?”
- D. “Give me more information about what worries you, so we can see if we can do something to make adjustments.”
Correct answer: “Give me more information about what worries you, so we can see if we can do something to make adjustments.”
Rationale: When a client expresses worry about not being able to care for her children due to deteriorating neurologic function, the most appropriate response from the nurse is to gather more information from the client. This open-ended approach allows the nurse to better understand the client's specific concerns and needs, leading to tailored interventions and support. Choice A is dismissive and may make the client feel guilty for needing help. Choice B focuses on external resources without addressing the client's worries directly. Choice C suggests a psychological referral without exploring the client's concerns further. Therefore, the correct response is to gather more information to provide personalized support.
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