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. A family came to the emergency department with complaints of food poisoning. Which client should the nurse see first?
- A. 32-year-old with diarrhea for 6 hours
- B. 2-year-old with 1 wet diaper in 24 hours
- C. 40-year-old with abdominal cramping
- D. 10-year-old who is nauseated
Correct answer: B
Rationale: The correct answer is B because a 2-year-old with reduced urine output (1 wet diaper in 24 hours) is at high risk for dehydration. Dehydration can occur rapidly in young children and can be life-threatening. The nurse should prioritize assessing and managing the dehydration of the 2-year-old. Choices A, C, and D, although they may also require attention, do not present the same level of immediate risk as a dehydrated 2-year-old.
3. Which risk factor would the nurse expect to find in the client diagnosed with pancreatic cancer?
- A. Chewing tobacco
- B. Low-fat diet
- C. Chronic alcoholism
- D. Exposure to industrial chemicals
Correct answer: C
Rationale: The correct answer is C: Chronic alcoholism. Chronic alcoholism is a significant risk factor for pancreatic cancer as alcohol has a damaging effect on the pancreas. Chewing tobacco (choice A) is associated with oral and throat cancers, not specifically pancreatic cancer. A low-fat diet (choice B) is generally considered a healthier choice and not a direct risk factor for pancreatic cancer. Exposure to industrial chemicals (choice D) may be linked to other types of cancers but is not a major risk factor for pancreatic cancer.
4. Before administering an MMR (measles, mumps, and rubella) vaccine to a 15-month-old, which question should the nurse ask the mother of the child?
- A. “Has your child had any sore throats?”
- B. “Has your child been eating properly?”
- C. “Is your child allergic to any antibiotics?”
- D. “Has your child been exposed to any infections?”
Correct answer: C
Rationale: The correct question for the nurse to ask the mother before administering the MMR vaccine to a 15-month-old is about the child's allergy to antibiotics. This is crucial because the MMR vaccine contains neomycin, an antibiotic, and being allergic to antibiotics like neomycin is a contraindication for the MMR vaccine. Asking about sore throats, eating habits, or exposure to infections is not directly relevant to the administration of the MMR vaccine.
5. Short-bowel syndrome usually occurs when:
- A. The longitudinal muscles of the intestine contract
- B. More than 50% of the small intestine is surgically removed
- C. More than 50% of the large intestine is surgically removed
- D. Transit time is decreased due to infection or drugs
Correct answer: B
Rationale: Short-bowel syndrome usually occurs when more than 50% of the small intestine is surgically removed. This condition results in malabsorption of nutrients and fluids due to the reduced length of the small intestine. Choice A is incorrect because the contraction of longitudinal muscles does not lead to short-bowel syndrome. Choice C is incorrect as short-bowel syndrome is primarily related to the small intestine, not the large intestine. Choice D is incorrect since decreased transit time due to infection or drugs is not a direct cause of short-bowel syndrome.
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