ATI RN Custom Exams Set 4

ATI RN Custom Exams Set 4 Related

Review ATI RN Custom Exams Set 4 related questions and content

The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The cross-match reveals the presence of antibodies that cannot be cross-matched. Which precaution should the nurse implement when initiating the transfusion?

  • A. Start the transfusion at 10-15 mL per hour for 15-30 minutes
  • B. Re-crossmatch the blood until the antibodies are identified
  • C. Have the client sign a permit to receive uncrossmatched blood
  • D. Have the unlicensed nursing assistant stay with the client
Correct Answer: A

Rationale: Starting the transfusion slowly at 10-15 mL per hour for 15-30 minutes is essential when the cross-match reveals the presence of antibodies that cannot be cross-matched. This precaution allows the nurse to monitor for any adverse reactions due to the antibodies. Re-crossmatching the blood until the antibodies are identified (choice B) may delay the transfusion process and put the client at risk. Having the client sign a permit to receive uncrossmatched blood (choice C) is not a standard practice and does not address the immediate need for precautions during transfusion. Having the unlicensed nursing assistant stay with the client (choice D) is unrelated to the safe initiation of the transfusion and is not a precaution specific to managing antibodies in blood products.

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Who is the first individual in the combat health support chain to make medically substantiated decisions based on military occupational specialty-specific medical training?

  • A. Physician
  • B. Physician assistant
  • C. Combat medic
  • D. Combat lifesaver
Correct Answer: B

Rationale: The correct answer is 'Physician assistant.' Physician assistants are trained to make medically substantiated decisions based on their specific medical training within the combat health support chain. Choice A, 'Physician,' is incorrect as they may be involved but are not typically the first in line for such decisions as physician assistants. Choice C, 'Combat medic,' is incorrect as they usually provide immediate medical care but may not be the first to make medically substantiated decisions. Choice D, 'Combat lifesaver,' is incorrect as they are trained to provide basic life-saving interventions but may not have the specialized medical training to make complex medical decisions.

The nurse is teaching a community class to people with Type 2 diabetes mellitus. Which explanation would explain the development of Type 2 diabetes?

  • A. The islet cells in the pancreas stop producing insulin
  • B. The client eats too many foods that are high in sugar
  • C. The pituitary gland does not produce vasopressin
  • D. The cells become resistant to the circulating insulin
Correct Answer: D

Rationale: The correct answer is D. In Type 2 diabetes, the primary issue is insulin resistance, where cells do not respond effectively to insulin. Choice A is incorrect because in Type 1 diabetes, the islet cells in the pancreas stop producing insulin. Choice B is not directly related to the development of Type 2 diabetes but rather to its management. Choice C is incorrect as it refers to a dysfunction in vasopressin production, which is not related to Type 2 diabetes.

A patient with a history of gout should avoid which type of food?

  • A. Red meat
  • B. Chicken
  • C. Fish
  • D. Dairy
Correct Answer: A

Rationale: The correct answer is A: Red meat. Red meat is high in purines, which can exacerbate gout attacks. Gout is a form of arthritis that occurs when high levels of uric acid in the blood lead to the formation of urate crystals in the joints. Purine-rich foods can increase uric acid levels, leading to gout symptoms. Chicken and fish are lower in purines compared to red meat, making them better choices for individuals with gout. Dairy products are generally considered safe for gout patients and may even have a protective effect against gout.

Where do most peptic ulcers occur?

  • A. Esophagus
  • B. Stomach
  • C. Duodenum
  • D. Jejunum
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which lipoprotein carries cholesterol from tissues to the liver for excretion?

  • A. Very low-density lipoprotein
  • B. Intermediate-density lipoprotein
  • C. Low-density lipoprotein
  • D. High-density lipoprotein
Correct Answer: D

Rationale: The correct answer is D, High-density lipoprotein (HDL). HDL is known as 'good' cholesterol because it helps transport excess cholesterol from tissues back to the liver for removal from the body. Very low-density lipoprotein (VLDL) (choice A) and intermediate-density lipoprotein (choice B) are involved in transporting triglycerides. Low-density lipoprotein (LDL) (choice C) is known as 'bad' cholesterol as it can deposit cholesterol in the walls of arteries.

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