ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
- A. . Amount of pressure in fluid container
- B. Date of catheter tubing change
- C. Percent of heparin in infusion container
- D. . Presence of an ulnar pulse
Correct answer: . Presence of an ulnar pulse
Rationale:
2. During which period of psychosexual development does a child become preoccupied with the development of skills and activities?
- A. Genital
- B. Phallic
- C. Latency
- D. Pubertal
Correct answer: C
Rationale: The correct answer is C, Latency. In the Latency stage of psychosexual development, which occurs from around age 6 to puberty, children are focused on developing skills and engaging in activities rather than exploring sexuality. This period is characterized by the suppression of sexual impulses and the emphasis on social and intellectual pursuits. Choice A, Genital, refers to the final stage of psychosexual development in Freud's theory where individuals reach sexual maturity. Choice B, Phallic, pertains to the stage where children become aware of anatomical differences between boys and girls and develop unconscious sexual desires for the opposite-sex parent. Choice D, Pubertal, is not a recognized stage in Freud's psychosexual development theory.
3. What is the relationship between socioeconomic status and the prevalence of abnormal behavior?
- A. Socioeconomic status does not affect the prevalence of abnormal behavior.
- B. There is a positive correlation between low socioeconomic status and a higher prevalence of abnormal behavior.
- C. Higher socioeconomic status is associated with a lower prevalence of abnormal behavior.
- D. Socioeconomic status and the prevalence of abnormal behavior are unrelated.
Correct answer: B
Rationale: The correct answer is B. There is a positive correlation between low socioeconomic status and a higher prevalence of abnormal behavior. Individuals with lower socioeconomic status may face more stressors, reduced access to mental health resources, and other challenges that can contribute to a higher prevalence of abnormal behavior. Choice A is incorrect because socioeconomic status does affect the prevalence of abnormal behavior. Choice C is incorrect because higher socioeconomic status is not associated with a lower prevalence of abnormal behavior. Choice D is incorrect as there is a clear relationship between socioeconomic status and the prevalence of abnormal behavior.
4. The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. What is the most likely cause of this weight loss?
- A. Poor appetite
- B. Reduction of edema
- C. Restriction to bed rest
- D. Increased potassium intake
Correct answer: B
Rationale: The weight loss is most likely due to the reduction of edema, as glomerulonephritis often causes fluid retention that resolves with treatment, leading to significant weight loss.
5. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?
- A. Cost X Quality
- B. Cost X Quality/Consumer satisfaction
- C. Quality/Cost
- D. Fee for service/discount rate
Correct answer: C
Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.
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