ATI RN
ATI RN Custom Exams Set 5
1. The client has been diagnosed with hemorrhoids. Which statement from the client indicates that further teaching is needed?
- A. “I should increase fruits, bran, and fluids in my diet.”
- B. “I will use warm compresses and take sitz baths daily.”
- C. “I must take a laxative every night and have a stool daily.”
- D. “I can use an analgesic ointment or suppository for pain.”
Correct answer: C
Rationale: Choice C indicates that further teaching is needed because taking a laxative every night and aiming to have a stool daily can lead to dependence and is not recommended for managing hemorrhoids. Choices A, B, and D are appropriate self-care measures for hemorrhoids, such as increasing fiber intake, using warm compresses/sitz baths, and using analgesic ointments or suppositories for pain relief.
2. The nurse has given post-procedure instructions to a client who underwent a colonoscopy. Evaluation of learning would be evident if the client makes which statement(s)?
- A. All below
- B. “My abdominal muscles may be tender because of the procedure.”
- C. “My diet should be light at first, and then I can progress to a regular diet.”
- D. “It is normal to feel gassy or bloated for a short while after the procedure.”
Correct answer: A
Rationale: Mild tenderness, a light diet initially, and gas or bloating are expected after a colonoscopy.
3. The client with chronic alcoholism has chronic pancreatitis and hypomagnesemia. What should the nurse assess when administering magnesium sulfate to the client?
- A. Deep tendon reflexes
- B. Arterial blood gases
- C. Skin turgor
- D. Capillary refill time
Correct answer: A
Rationale: Corrected Rationale: When administering magnesium sulfate to a client with chronic alcoholism, chronic pancreatitis, and hypomagnesemia, the nurse should assess deep tendon reflexes. Magnesium sulfate can depress the central nervous system and decrease deep tendon reflexes, so monitoring them is crucial. Assessing arterial blood gases, skin turgor, or capillary refill time is not directly related to the administration of magnesium sulfate in this scenario.
4. The client has been diagnosed with hemorrhoids. Which statement from the client indicates that further teaching is needed?
- A. “I should increase fruits, bran, and fluids in my diet.”
- B. “I will use warm compresses and take sitz baths daily.”
- C. “I must take a laxative every night and have a stool daily.”
- D. “I can use an analgesic ointment or suppository for pain.”
Correct answer: C
Rationale: Choice C indicates the need for further teaching because regular use of laxatives can lead to dependence and is not recommended for hemorrhoids. Increased fiber intake and fluid consumption (Choice A) help prevent constipation, warm compresses and sitz baths (Choice B) provide relief, and using analgesic ointments or suppositories (Choice D) can help manage pain associated with hemorrhoids.
5. The nurse is caring for a client diagnosed with rule-out nephritic syndrome. Which intervention should be included in the plan of care?
- A. Monitor the urine for bright-red bleeding
- B. Evaluate the calorie count of the 500-mg protein diet
- C. Assess the client’s sacrum for dependent edema
- D. Monitor for a high serum albumin level
Correct answer: C
Rationale: Assessing the client’s sacrum for dependent edema is crucial in the care plan for nephritic syndrome as it is common due to protein loss. Dependent edema occurs as a result of decreased oncotic pressure from protein loss in the urine. Monitoring urine for bright-red bleeding (choice A) is more relevant to conditions like glomerulonephritis. Evaluating calorie count or protein intake (choice B) is important for other conditions but not specifically for nephritic syndrome. Monitoring for a high serum albumin level (choice D) is not typically part of the immediate care plan for nephritic syndrome.
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