ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?
- A. “Sexually transmitted infections will not make AIDS develop faster”
- B. “My diet does not influence the progression of HIV to AIDS”
- C. “If I practice medication, I may develop AIDS faster.”
- D. “IF I am re-exposed to HIV, the progression to AIDS may be faster,”
Correct answer: “IF I am re-exposed to HIV, the progression to AIDS may be faster,”
Rationale:
2. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?
- A. Confront the client about this behavior
- B. Express sympathy for the client's situation
- C. Speak assertively to the client
- D. Stand within 30 cm (1 ft) of the client when speaking with them
Correct answer: C
Rationale: In this situation, speaking assertively is the most appropriate action for the nurse to take. Confronting the client may escalate the situation further. Expressing sympathy, although important in other contexts, may not be effective in managing aggressive behavior. Standing within close proximity to an aggressive client can compromise the nurse's safety. Therefore, speaking assertively helps to set clear boundaries and manage the situation while ensuring safety in a seclusion room.
3. A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
- A. White blood cells
- B. Red blood cells
- C. Phagocytes
- D. Myocardial cells
Correct answer: A
Rationale: The correct answer is White blood cells. Colony-stimulating factors stimulate the production of white blood cells in response to the effects of chemotherapy, as it can lead to myelosuppression. Red blood cells are not directly stimulated by colony-stimulating factors. Phagocytes are a type of white blood cell involved in immune responses, but they are not specifically stimulated by colony-stimulating factors. Myocardial cells are cardiac muscle cells and are not directly involved in the response to chemotherapy-induced myelosuppression.
4. What are the adverse effects of radiation after a mastectomy?
- A. S3 heart sound, fatigue
- B. Pulselessness in the affected extremity
- C. SOB and JVD
- D. Localized pain, swelling, erythema
Correct answer: A
Rationale: The correct answer is A: S3 heart sound, fatigue. Radiation after a mastectomy can lead to fatigue and symptoms of heart failure, such as the presence of an S3 heart sound. Choices B, C, and D are incorrect. Pulselessness in the affected extremity would be more relevant to vascular complications, shortness of breath (SOB) and jugular venous distention (JVD) could indicate cardiac or respiratory issues unrelated to radiation, and localized pain, swelling, and erythema are more characteristic of a local inflammatory response rather than the systemic effects of radiation post-mastectomy.
5. What is the term for the first contact between community members and other levels of health facilities?
- A. Secondary level health care
- B. Tertiary level of care
- C. Primary health care
- D. Intermediate level of care
Correct answer: C
Rationale: Primary health care is the initial point of contact between community members and higher levels of health facilities. It focuses on providing essential, accessible, and affordable health care services to individuals and communities. Primary health care plays a crucial role in promoting health, preventing diseases, and managing common health problems, making it an integral part of the healthcare system.
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