ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. . One day after a patient is admitted to the medical unit, you note that the patient is oliguric. You notify the acutecare nurse practitioner who orders a fluid challenge of 200 mL of normal saline solution over 15 minutes. This intervention will achieve which of the following?
- A. Help distinguish hyponatremia from hypernatremia
- B. Help evaluate pituitary gland function
- C. Help distinguish reduced renal blood flow from decreased renal function
- D. Help provide an effective treatment for hypertension-induced oliguria
Correct answer: Help distinguish reduced renal blood flow from decreased renal function
Rationale:
2. What instruction should the healthcare provider include to minimize an adverse effect of Clomipramine for OCD in an adolescent client?
- A. Wear sunglasses when outdoors.
- B. Check your temperature daily.
- C. Take this medication in the morning.
- D. Add extra calories to your diet.
Correct answer: A
Rationale: The correct answer is A: 'Wear sunglasses when outdoors.' To minimize the anticholinergic effect of Clomipramine, the client should wear sunglasses when outdoors to reduce photophobia. This adverse effect is common with tricyclic antidepressant (TCA) use. Choices B, C, and D are incorrect. Checking temperature daily, timing of medication intake, or adding extra calories to the diet are not directly related to minimizing adverse effects of Clomipramine.
3. What is an essential factor for community health planning?
- A. Availability of funding
- B. Understanding the community’s needs
- C. Analyzing health data trends
- D. Ensuring health care access
Correct answer: B
Rationale: Understanding the community’s needs is a critical factor in community health planning. It allows planners to tailor interventions to address specific issues identified within the community, leading to more effective and impactful health initiatives.
4. What is the first sign of puberty in girls?
- A. Acne
- B. Hair growth in the pubic area and underarms
- C. Thelarche
- D. Menarche
Correct answer: C
Rationale: The correct answer is C, Thelarche. Thelarche refers to the onset of breast development, which is typically the first sign of puberty in girls. This occurs before menarche (the first menstrual period). Choices A and B, acne and hair growth in the pubic area and underarms, are not the first signs of puberty in girls. While acne can be a common occurrence during puberty, it usually appears after other physical changes. Hair growth in the pubic area and underarms also occurs later in the puberty process.
5. When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT:
- A. Color, amount and consistency of sputum
- B. Character of breath sounds and respiratory rate before and after procedure
- C. Amount of fluid intake of client before and after the procedure
- D. Significant changes in vital signs
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
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