ATI RN
ATI RN Custom Exams Set 4
1. Which situations are classified as natural disasters?
- A. Blizzards
- B. A, C
- C. Volcanic eruptions
- D. Structural collapse
Correct answer: B
Rationale: The correct answer is B. Blizzards and volcanic eruptions are both examples of natural disasters caused by natural forces such as extreme weather conditions and tectonic activities. On the other hand, structural collapse is typically a result of man-made factors like poor construction or maintenance. Therefore, choices A, C, and D are incorrect as only blizzards and volcanic eruptions are classified as natural disasters.
2. The nurse writes a problem of “potential for complication related to ovarian hyperstimulation” for a client who is taking clomiphene (Clomid), an ovarian stimulant. Which intervention should be included in the plan of care?
- A. Instruct the client to delay intercourse until menses
- B. Schedule the client for frequent pelvic sonograms
- C. Explain that the infusion therapy will take 21 days
- D. Discuss that this may cause an ectopic pregnancy
Correct answer: B
Rationale: Frequent pelvic sonograms help monitor for ovarian hyperstimulation, a serious potential side effect of clomiphene. Instructing the client to delay intercourse until menses (choice A) is not directly related to monitoring or managing ovarian hyperstimulation. Explaining the duration of infusion therapy (choice C) is not relevant to the potential complication of ovarian hyperstimulation. Discussing the risk of ectopic pregnancy (choice D) is important but not the most appropriate intervention for managing ovarian hyperstimulation.
3. Under the health services support area concept, how is the medical care under the MEDCOM divided?
- A. Six geographical regions of the United States with command authority in each region
- B. Five levels of health service support, each providing different levels of health care services
- C. Primary and secondary health care regions, each containing a MEDDAC or MEDCEN
- D. Eight geographical areas of responsibility designated as health services support regions, each of which is subdivided into two or more health service areas
Correct answer: D
Rationale: The correct answer is D. Under the health services support area concept, medical care under MEDCOM is divided into eight geographical areas of responsibility. Each of these areas is designated as a health services support region, and they are further subdivided into two or more health service areas. Choices A, B, and C are incorrect because they do not accurately describe how the medical care under MEDCOM is divided.
4. A nurse administers albuterol to a child with asthma. For what common side effect should the nurse monitor the child?
- A. Flushing
- B. Dyspnea
- C. Tachycardia
- D. Hypotension
Correct answer: C
Rationale: The correct answer is C, Tachycardia. Albuterol, a bronchodilator used to treat asthma, commonly causes tachycardia as a side effect. This occurs due to the medication's stimulatory effect on beta-2 adrenergic receptors. Flushing (Choice A) is not a common side effect of albuterol. Dyspnea (Choice B) refers to difficulty breathing, which is a symptom albuterol aims to alleviate. Hypotension (Choice D) is not typically associated with albuterol use; instead, albuterol can lead to an increase in blood pressure.
5. Which nutrient deficiency is most likely to be seen in patients with chronic alcoholism?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin B12
- D. Vitamin B1
Correct answer: D
Rationale: In patients with chronic alcoholism, the most likely nutrient deficiency is Vitamin B1 (thiamine), not Vitamin B12. Chronic alcoholism often leads to Vitamin B1 deficiency, causing conditions like Wernicke's encephalopathy. While other vitamin deficiencies can also occur in chronic alcoholism, such as Vitamin C and Vitamin D, Vitamin B1 deficiency is more commonly associated with alcoholism.
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