ATI RN
ATI Medical Surgical Proctored Exam
1. A client with heart failure expresses feelings of burden and thoughts of death to a nurse. How should the nurse respond?
- A. Would you like to talk more about this?
- B. You are lucky to have such a devoted daughter.
- C. It is normal to feel as though you are a burden.
- D. Would you like to meet with the chaplain?
Correct answer: A
Rationale: Depression can occur in clients with heart failure, especially in older adults. When a client expresses thoughts of being a burden and death, it is crucial for the nurse to address these concerns. Offering to talk more about the client's feelings provides an opportunity for open communication and a deeper understanding of the client's emotions. Open-ended questions like the one in choice A encourage the client to express themselves freely, leading to better assessment and client-centered care. Choices B and C fail to address the client's emotional distress directly, and choice D diverts the focus without addressing the client's immediate concerns.
2. Risk factors that have been shown to contribute to age-related macular degeneration include _____.
- A. oxidative stress from sunlight
- B. iron-deficiency anemia
- C. decreased intake of phytochemicals
- D. vitamin B6 malabsorption
Correct answer: A
Rationale: The correct answer is A: oxidative stress from sunlight. Oxidative stress caused by exposure to sunlight is a significant risk factor for age-related macular degeneration. This condition can result in vision loss among older individuals. Choices B, C, and D are incorrect. Iron-deficiency anemia, decreased intake of phytochemicals, and vitamin B6 malabsorption are not established risk factors for age-related macular degeneration.
3. A nurse is providing discharge instructions for a client who has a new prescription for Hydrochlorothiazide. Which of the following instructions should the nurse include?
- A. Take the medication before bed.
- B. Monitor for increased blood pressure.
- C. Take the medication on an empty stomach.
- D. Monitor for leg cramps.
Correct answer: D
Rationale: The correct answer is D: 'Monitor for leg cramps.' Leg cramps may indicate hypokalemia, an adverse effect of hydrochlorothiazide, and should be reported to the provider. Choice A is incorrect because hydrochlorothiazide is usually taken in the morning to avoid nocturia. Choice B is incorrect as hydrochlorothiazide is a diuretic that helps lower blood pressure. Choice C is incorrect as hydrochlorothiazide can be taken with or without food.
4. A 56-year-old woman has been experiencing memory loss and confusion for the past year. The client is diagnosed with Alzheimer's disease. Which finding is most characteristic of this disease?
- A. Neurofibrillary tangles in the brain
- B. Demyelination of neurons in the brain
- C. Accumulation of beta-amyloid plaques
- D. Formation of Lewy bodies
Correct answer: C
Rationale: The correct answer is C: Accumulation of beta-amyloid plaques. Alzheimer's disease is characterized by the accumulation of beta-amyloid plaques in the brain. These plaques are formed from the buildup of beta-amyloid protein fragments between nerve cells. Choice A, neurofibrillary tangles, are a hallmark of another neurodegenerative disease called Alzheimer's disease. Choice B, demyelination of neurons, is more characteristic of diseases like multiple sclerosis. Choice D, formation of Lewy bodies, is associated with Lewy body dementia, not Alzheimer's disease.
5. In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation.
- A. clinical interview
- B. naturalistic observation
- C. structured observation
- D. case study
Correct answer: C
Rationale: In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation. This allows for fair and equitable observations across all participants, ensuring that each individual has the same opportunities to exhibit the behavior being studied. Choice A, clinical interview, typically involves a one-on-one interaction between a researcher and a participant focusing on collecting information through questions and answers, not providing equal opportunities for behavior display. Choice B, naturalistic observation, involves observing individuals in their natural environment without intervention or manipulation of conditions, which may not always ensure equal opportunities for behavior display. Choice D, case study, focuses on in-depth analysis of a single individual or a small group, providing detailed information but not necessarily ensuring equal opportunities for behavior display among participants.
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