ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. Which client is at highest risk of compromised immunity?
- A. A client who just had surgery
- B. A client who just delivered a baby
- C. A client with extreme anxiety
- D. A client who is awaiting surgery
Correct answer: A client who just had surgery
Rationale:
2. Each statement is true of proteins, except one. Which is the exception?
- A. Proteins are composed of building blocks called amino acids
- B. The classification of the 20 common amino acids is based on the properties of their side chains
- C. The general structure of an amino acid varies considerably
- D. Amino acids polymerize to form long chains called polypeptides
Correct answer: B
Rationale: The correct answer is B. The classification of the 20 common amino acids is not based on the properties of their side chains, but rather on the structure of their amino and carboxyl groups. These groups are consistent among all amino acids, while the side chains, also known as R groups, are what vary and give each amino acid its unique properties. Choice A is correct because proteins are indeed composed of amino acids. Choice C is incorrect because while the side chains of amino acids can vary, the general structure of an amino acid - a central carbon atom bonded to an amino group, a carboxyl group, a hydrogen atom, and a side chain - is consistent. Choice D is correct because amino acids do polymerize to form long chains called polypeptides, which can then fold into complex shapes to form proteins.
3. A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?
- A. Blood glucose levels
- B. Liver function tests
- C. Kidney function tests
- D. Blood pressure
Correct answer: B
Rationale: During estradiol therapy, monitoring liver function tests is essential due to the potential for liver dysfunction. Estradiol can affect liver function, making it crucial to monitor enzyme levels. Choice A, blood glucose levels, is not directly impacted by estradiol therapy, making it an incorrect choice. Choice C, kidney function tests, is not typically affected by estradiol therapy, so it is not the priority for monitoring. Choice D, blood pressure, is also not the primary parameter to monitor during estradiol therapy unless there are pre-existing conditions that warrant such monitoring.
4. Which lipid contains 3 fatty acids?
- A. cholesterol
- B. phospholipid
- C. saturated
- D. triglyceride
Correct answer: D
Rationale: The correct answer is 'D. triglyceride.' Triglycerides are composed of one glycerol molecule and three fatty acids, making them the primary form of stored fat in the body. Cholesterol (A) is a different type of lipid, phospholipids (B) have two fatty acids, and 'saturated' (C) refers to the structure of fatty acids, not a specific lipid containing 3 fatty acids.
5. A female patient is scheduled for an oral glucose tolerance test. Which information from the patient�s health history is most important for the nurse to communicate to the health care provider?
- A. The patient uses oral contraceptives.
- B. The patient runs several days a week.
- C. The patient has been pregnant three times
- D. The patient has a family history of diabetes
Correct answer: A
Rationale:
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