ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?
- A. Maintain the client’s blood pressure
- B. Call a chaplain
- C. Provide the spouse a chair
- D. Ask the client’s spouse to explain what happened
Correct answer: Maintain the client’s blood pressure
Rationale:
2. Which of these is an example of a phenomenological community?
- A. Greenwich Village senior center
- B. NYC council district
- C. Gramercy Green residents
- D. Online support group for cancer survivors
Correct answer: D
Rationale: A phenomenological community is defined by shared experiences and interests, which are often found in online support groups for cancer survivors where individuals connect based on a common experience, fostering a sense of community and support.
3. What is the priority nursing intervention for a patient experiencing an acute asthma attack?
- A. Administer bronchodilators
- B. Monitor oxygen saturation
- C. Provide supplemental oxygen
- D. Start IV fluids
Correct answer: A
Rationale: The correct answer is to administer bronchodilators. In an acute asthma attack, the priority is to open the airways and improve airflow. Bronchodilators like albuterol are crucial in providing immediate relief to the patient. Monitoring oxygen saturation (choice B) is important but administering bronchodilators takes precedence in managing the acute attack. Providing supplemental oxygen (choice C) may be necessary but addressing the airway obstruction with bronchodilators is the priority. Starting IV fluids (choice D) is not the priority in an acute asthma attack unless specifically indicated for other reasons such as dehydration.
4. What are the early signs of hypokalemia on an ECG?
- A. Flattened T waves
- B. Elevated ST segments
- C. Prominent U waves
- D. Widened QRS complex
Correct answer: A
Rationale: Flattened T waves are an early sign of hypokalemia on an ECG. In hypokalemia, the T waves may flatten and eventually invert. Elevated ST segments are not typically associated with hypokalemia. Prominent U waves are seen in conditions like hypokalemia, but they are not considered an early sign. A widened QRS complex is more commonly associated with hyperkalemia rather than hypokalemia.
5. What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)
- A. Blow nose gently without blocking nostrils
- B. Wear hearing protection when exposed to loud noise
- C. Avoid using cotton-tipped applicators to clean the external ear
- D. All of the above
Correct answer: D
Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.
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