ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. You are the nurse caring for a patient who is to receive IV daunorubicin, a chemotherapeutic agent. You start the infusion and check the insertion site as per protocol. During your most recent check, you note that the IV has infiltrated so you stop the infusion. What is your main concern with this infiltration?
- A. Extravasation of the medication
- B. Discomfort to the patient
- C. Blanching at the site
- D. Hypersensitivity reaction to the medication
Correct answer: Extravasation of the medication
Rationale:
2. Which parenting style is associated with the most positive developmental outcome?
- A. Authoritarian
- B. Permissive/indulgent
- C. Authoritative
- D. Neglectful/uninvolved
Correct answer: C
Rationale: The authoritative parenting style is associated with the most positive developmental outcomes. Authoritative parents are responsive to their children's needs while also setting clear expectations and boundaries. This balance fosters a supportive environment that allows children to develop autonomy, self-confidence, and social skills. Authoritarian parenting (choice A) is characterized by strict rules and harsh discipline, leading to less favorable outcomes. Permissive/indulgent parenting (choice B) involves being lenient and overly responsive, which can result in children lacking self-discipline. Neglectful/uninvolved parenting (choice D) is marked by a lack of responsiveness and involvement, resulting in negative developmental outcomes.
3. Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
- A. Increase the I.V. infusion rate.
- B. Use diversion activities.
- C. Provide frequent mouth care.
- D. Give ice chips every 15 minutes.
Correct answer: C
Rationale: Providing frequent mouth care is the priority for a patient with peritonitis who is NPO and complaining of thirst.
4. A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following interventions should the nurse take while caring for this client?
- A. Advise the client to use the pump sparingly to prevent addiction
- B. Encourage the client to use the PCA before dressing changes
- C. Encourage the client's family to administer PCA while the client is sleeping
- D. Increase the client's 4-hour limit as needed
Correct answer: B
Rationale: The correct answer is B because encouraging the client to use the PCA before dressing changes helps in managing pain proactively. Choice A is incorrect as PCA is a safe method of pain control when used appropriately, and the nurse should not suggest using it sparingly. Choice C is incorrect as only the client should operate the PCA to ensure they are in control of their pain management. Choice D is incorrect as changing the PCA limit without proper assessment and orders from the healthcare provider can lead to adverse effects.
5. Before the late 1800s, childbirth usually took place __________.
- A. at home and was a family-centered event
- B. at home, but away from other family members
- C. in a hospital with trained midwives
- D. in the home of a medical professional or in a hospital
Correct answer: A
Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.
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