ATI RN
ATI RN Custom Exams Set 2
1. Which intervention should the nurse implement for the client who has an ileal conduit?
- A. Pouch the stoma with a one-inch margin around the stoma
- B. Refer the client to the United Ostomy Association for discharge teaching
- C. Report to the healthcare provider any decrease in urinary output
- D. Monitor the stoma for signs and symptoms of infection every shift
Correct answer: C
Rationale: The correct intervention for a client with an ileal conduit is to report to the healthcare provider any decrease in urinary output. A decrease in urinary output can be indicative of a blockage or other complication, necessitating immediate attention. Choice A is incorrect because pouching the stoma with a margin around it is not directly related to managing complications. Choice B is incorrect as referring the client to an ostomy association may be beneficial for education but is not the immediate action needed for decreased urinary output. Choice D is incorrect because monitoring for infection, although important, is not the priority when dealing with a potential complication like decreased urinary output.
2. A gerontologic nurse is teaching students about the high incidence and prevalence of dehydration in older adults. What factors contribute to this phenomenon? Select all that do not apply.
- A. Decreased kidney mass
- B. Decreased renal blood flow
- C. Decreased excretion of potassium
- D. Increased conservation of sodium
Correct answer: Increased conservation of sodium
Rationale:
3. How does the pain of a myocardial infarction (MI) differ from stable angina?
- A. Accompanied by shortness of breath
- B. Feelings of fear or anxiety
- C. Lasts less than 15 minutes
- D. No relief from taking nitroglycerin
Correct answer: C
Rationale: The pain of a myocardial infarction (MI) is often accompanied by shortness of breath and feelings of fear or anxiety. Unlike stable angina, the pain of an MI typically lasts longer than 15 minutes and is not relieved by nitroglycerin. Additionally, it can occur without a known cause, unlike stable angina which often has a trigger such as exertion.
4. Which of the following proteins is iron a component of, responsible for the transport of oxygen in the bloodstream?
- A. hemoglobin
- B. transferrin
- C. myoglobin
- D. hepcidin
Correct answer: A
Rationale: The correct answer is A: hemoglobin. Hemoglobin is the protein found in red blood cells that is responsible for carrying oxygen from the lungs to the rest of the body. Iron is a crucial component of hemoglobin, binding to oxygen and allowing for its transport. Choice B, transferrin, is involved in iron transport in the blood but not in oxygen transport. Choice C, myoglobin, is a protein found in muscle cells that stores oxygen for muscle use, not transportation in the bloodstream. Choice D, hepcidin, is a peptide hormone that regulates iron absorption in the intestines and iron distribution in the body, but it is not directly involved in oxygen transport.
5. Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?
- A. SSRIs
- B. Antipsychotics
- C. Benzodiazepines
- D. Tricyclic antidepressants
Correct answer: B
Rationale: Antipsychotics are known to cause extrapyramidal symptoms, which manifest as abnormal movement disorders. Nursing assessments are crucial in monitoring patients taking antipsychotics to promptly identify and manage these potential side effects.