ATI RN
ATI RN Custom Exams Set 2 Questions
Question 1 of 5
A client with a diagnosis of catatonic schizophrenia is expected to exhibit which clinical finding?
Correct Answer: C
Rationale: In catatonic schizophrenia, immobile posturing is a common clinical finding where the patient may maintain a rigid or bizarre posture for prolonged periods. Crying (Choice A) is not typically associated with catatonic schizophrenia. Self-mutilation (Choice B) is more commonly seen in conditions like borderline personality disorder. Repetitious activities (Choice D) are not a hallmark symptom of catatonic schizophrenia.
Question 2 of 5
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)?
Correct Answer: A
Rationale: In this scenario, option A is the correct choice. The client demonstrating understanding by stating all the provided statements indicates comprehensive comprehension of post-colonoscopy instructions. Option B is incorrect because while abdominal tenderness can be expected after a colonoscopy due to the procedure's nature, it is not the only information necessary for a full understanding of post-procedure care. Option C is also incorrect because it only addresses the immediate dietary needs post-colonoscopy. While it is important to start with a light diet and progress to a regular diet, this statement alone does not encompass all the necessary instructions for post-colonoscopy care. Option D is incorrect as well because although feeling gassy or bloated is common after a colonoscopy, this statement alone does not cover all the essential post-procedure instructions. Educationally, understanding the entirety of post-procedure care after a colonoscopy is crucial for optimal recovery and outcomes. Emphasizing the importance of a holistic approach to post-procedure instructions ensures that clients are well-informed and able to take appropriate self-care measures. Thus, selecting option A as the correct answer ensures that the client comprehensively understands the necessary post-colonoscopy care instructions.
Question 3 of 5
A client scheduled for surgery cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which best action regarding the informed consent?
Correct Answer: D
Rationale: In situations where a client is unable to sign the consent form, obtaining a telephone consent from a family member, with the consent being witnessed by two healthcare providers, is the best course of action. This ensures that the client's best interests are considered and that proper authorization is obtained. Option A, obtaining a court order, is not necessary in this scenario and could delay the surgery. Option B, signing the consent on behalf of the client, is not appropriate as it may raise ethical and legal concerns. Option C, sending the client to surgery without a signed consent form, is not advisable as it violates the principles of informed consent and places the client at risk.
Question 4 of 5
The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and ascites. The nurse explains to the client that this is administered to:
Correct Answer: C
Rationale: The correct answer is C: Elevate the circulating blood volume. Albumin increases the circulating blood volume, which helps to reduce ascites and improve hemodynamics in clients with portal hypertension. Choice A is incorrect because salt-poor albumin is not primarily administered to provide nutrients. Choice B is incorrect because the main purpose of administering albumin is not to increase protein stores but to address fluid shifts. Choice D is incorrect because administering albumin does not divert blood flow away from the liver temporarily; instead, it helps improve blood volume and circulation.
Question 5 of 5
A client is prescribed lisinopril (Zestril) for the treatment of hypertension. He asks the nurse about possible adverse effects. The nurse should inform him about which common adverse effects of angiotensin-converting enzyme (ACE) inhibitors?
Correct Answer: D
Rationale: The correct answer is D: 'Dizziness' and 'Headache'. ACE inhibitors like lisinopril are known to cause these common side effects due to their blood pressure-lowering effects. Choice A, 'Constipation', is not a common adverse effect associated with ACE inhibitors. While constipation can be a side effect of some medications, it is not typically seen with ACE inhibitors. Therefore, options A and B are incorrect choices.