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. Sigmund Freud developed an innovative procedure for treating people with psychological problems, which he called?
- A. Behavior modification.
- B. Primal therapy.
- C. Psychoanalysis.
- D. Rational-emotive therapy.
Correct answer: C
Rationale: Sigmund Freud developed psychoanalysis, not behavior modification, primal therapy, or rational-emotive therapy, as an innovative method for treating psychological problems. Psychoanalysis focuses on exploring unconscious motivations to understand and address psychological disorders, making it the correct answer. Behavior modification involves changing behavior through conditioning techniques, primal therapy emphasizes expressing repressed emotions, and rational-emotive therapy aims to identify and change irrational beliefs.
3. A nurse is reviewing the medical record of a client who has a new prescription for insulin glargine. Which of the following should the nurse include in the teaching?
- A. This insulin has a peak effect of 2 to 4 hours.
- B. This insulin has a duration of action of 24 hours.
- C. This insulin is given before meals to control your blood sugar.
- D. You should avoid eating 30 minutes before or after taking this insulin.
Correct answer: B
Rationale: The correct answer is B. Insulin glargine has a 24-hour duration of action, making it suitable for once-daily dosing for long-term blood sugar control. Choice A is incorrect as insulin glargine is a long-acting insulin with no pronounced peak effect in its action profile. Choice C is incorrect as insulin glargine is usually given at the same time each day regardless of meals. Choice D is incorrect as there is no specific requirement to avoid eating before or after taking insulin glargine.
4. Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease?
- A. Cigarette smoking
- B. Occupational exposure
- C. Air pollution
- D. Genetic abnormalities
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. A nurse is caring for a client who reports a decrease in the effectiveness of their pain medication. What factor should the nurse identify as contributing to this decrease?
- A. History of frequent alcohol use
- B. Decreased physical activity
- C. Bowel inflammation
- D. History of opioid use
Correct answer: C
Rationale: The correct answer is C: Bowel inflammation. Bowel inflammation can interfere with the absorption of medications, including pain medication, leading to decreased effectiveness. Choices A, B, and D are incorrect because although they can impact pain management in various ways, they are not directly related to the decreased effectiveness of pain medication due to absorption issues.
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