ATI RN
ATI RN Custom Exams Set 1
1. Which laboratory data indicate the client’s pancreatitis is improving?
- A. The amylase and lipase serum levels are decreased
- B. The white blood cell count (WBC) is decreased
- C. The conjugated and unconjugated bilirubin levels are decreased
- D. The blood urea nitrogen (BUN) serum level is decreased
Correct answer: A
Rationale: The correct answer is A. Amylase and lipase are enzymes specifically related to pancreatitis. A decrease in their serum levels indicates improvement in pancreatitis. White blood cell count (WBC), choices C and D, are not direct markers for pancreatitis improvement. Bilirubin levels, choice C, are more related to liver function rather than pancreatitis. Blood urea nitrogen (BUN) level, choice D, is a marker for kidney function, not pancreatitis.
2. Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?
- A. Administration of antibiotics
- B. Assessment for complications
- C. Preparation for lithotripsy
- D. Preparation for surgery
Correct answer: B
Rationale: Assessment for complications should be the main focus of nursing management for a client hospitalized for cholecystitis.
3. A patient who is undergoing treatment for cytomegalovirus received his first dose of IV ganciclovir 3 days ago. When reviewing this patient's most recent blood work, what abnormality should the nurse most likely attribute to the use of this drug?
- A. Hemoglobin 17 g/dL (high normal)
- B. INR 3.8 (high)
- C. Platelet count 118,000/mm3 (low)
- D. Leukocytes 11,900/mm3 (high)
Correct answer: C
Rationale: The correct answer is C: Platelet count 118,000/mm3 (low). Ganciclovir, used to treat cytomegalovirus, is known to cause bone marrow suppression, leading to decreased platelet count (thrombocytopenia). This condition can increase the risk of bleeding. Choices A, B, and D are not typically associated with ganciclovir therapy. High hemoglobin levels (choice A) are not commonly seen with ganciclovir treatment. INR elevation (choice B) is associated with coagulation abnormalities, which are not a typical side effect of ganciclovir. Elevated leukocyte count (choice D) is not a common consequence of ganciclovir use.
4. Why is it particularly useful to study identical twins who were raised in different environments?
- A. Differences in brain function can be easily identified.
- B. Concordance rates tend to be higher.
- C. It is possible that the genetics of twins who have been separated have changed in ways to explain any differences found.
- D. It is possible that high concordance rates between identical twins reared together are due to their being treated more similarly than nonidentical twins.
Correct answer: D
Rationale: Studying identical twins raised in different environments allows researchers to understand the impact of genetics versus environmental factors on traits. Choice A is incorrect because differences in brain function can be influenced by a variety of factors and not solely by environmental differences. Choice B is incorrect as concordance rates tend to be higher in identical twins reared together due to shared genetics and environment. Choice C is incorrect because genetics do not change due to being raised in different environments.
5. Which of the following tests is most commonly used to diagnose cholecystitis?
- A. Abdominal CT scan
- B. Abdominal ultrasound
- C. Barium swallow
- D. Endoscopy
Correct answer: B
Rationale: An abdominal ultrasound is the most commonly used test to diagnose cholecystitis.