ATI RN
Endocrinology Exam Questions
Question 1 of 5
The nurse is planning care for a client with epilepsy. Which precautions does the nurse implement to ensure the safety of the client while in the hospital? (Select one that doesn't apply.)
Correct Answer: D
Rationale: For a client with epilepsy, it is essential to avoid restraining them with strict bed rest as it can lead to complications like muscle atrophy, thrombosis, and pressure ulcers. Having suction equipment at the bedside is important in case of seizures to prevent aspiration. Keeping bed rails up can prevent falls during a seizure. Ensuring that the client has IV access is crucial for administering medications such as antiepileptic drugs or emergency medications if needed.
Therefore, maintaining the client on strict bed rest is not a recommended precaution for a client with epilepsy.
Question 2 of 5
A client is diagnosed with varicella (chickenpox). The nurse places the client on which precautions?
Correct Answer: A
Rationale: The correct answer is 'Airborne.' Varicella (chickenpox) is caused by the varicella-zoster virus, which spreads through the air by respiratory droplets.
Therefore, placing the client on airborne precautions is necessary to prevent the transmission of the virus.
Choice B, 'Standard precautions,' involve basic infection prevention measures that are used for all client care.
Choice C, 'Contact precautions,' are used for diseases that spread by direct or indirect contact.
Choice D, 'Droplet precautions,' are implemented for diseases transmitted by respiratory droplets that are larger than 5 microns.
Question 3 of 5
The nurse is caring for a hospitalized client who has AIDS and is severely immune compromised. Which interventions are used to help prevent infection in this client? (Select one that doesn't apply.)
Correct Answer: A
Rationale:
Question 4 of 5
The nurse is caring for a client who has had surgery the previous day. The client tells the nurse, "Breathing in using this thing (incentive spirometer) is a ridiculous waste of time."? What is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is, '"The spirometer will help your lungs expand."?' Incentive spirometry is used postoperatively to help prevent atelectasis by expanding the lungs and improving lung function.
Choice A is incorrect because the primary purpose of the spirometer is not to help cough effectively.
Choice C is incorrect because while deep breathing with the spirometer can indirectly help prevent blood clots by improving lung function, its primary purpose is not to prevent blood clots directly.
Choice D is incorrect because although using the spirometer can improve ventilation and oxygenation, its main purpose is not to improve blood flow in the lungs.
Question 5 of 5
The healthcare provider is assessing a client before surgery. Which assessments contraindicate the client from having surgery as scheduled? (Select one that does not apply.)
Correct Answer: C
Rationale: The correct answer is C: Prothrombin time (PT) of 30 seconds. A low potassium level (choice
A) and an elevated INR (choice
B) indicate potential bleeding risks during surgery. A positive pregnancy test (choice
D) in a female client can lead to complications during surgery. However, a Prothrombin time of 30 seconds is within the normal range and does not contraindicate the client from having surgery as scheduled.
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