ATI RN
ATI Capstone Adult Medical Surgical Assessment 1
1. A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following findings should the nurse expect?
- A. Decreased deep tendon reflexes
- B. Positive Chvostek's sign
- C. Hyperactive bowel sounds
- D. Dry mucous membranes
Correct answer: A
Rationale: Corrected deep tendon reflexes occur with hyponatremia. Other manifestations of hyponatremia include headache, confusion, lethargy, fatigue, seizures, and muscle weakness. Positive Chvostek's sign is associated with hypocalcemia, hyperactive bowel sounds are not typically related to hyponatremia, and dry mucous membranes are more commonly seen with dehydration.
2. A nurse is caring for a client who is receiving furosemide. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the medication?
- A. Serum sodium.
- B. Serum glucose.
- C. Serum potassium.
- D. Serum calcium.
Correct answer: C
Rationale: The correct answer is C: Serum potassium. Furosemide is a potassium-wasting diuretic, meaning it can lead to potassium loss in the body. Monitoring serum potassium levels is crucial to evaluate the effectiveness of furosemide and prevent hypokalemia. Options A, B, and D are incorrect because furosemide does not directly affect sodium, glucose, or calcium levels in the same way it impacts potassium levels.
3. The use of the Standards of Nursing Practice is important in the hospital. Which of the following statements best describes what it is?
- A. These are statements that describe the maximum or highest level of acceptable performance in nursing practice
- B. It refers to the scope of nursing practice as defined in Republic Act 9173
- C. It is a license issued by the Professional Regulation Commission to protect the public from substandard nursing
- D. The Standards of Care includes the various steps of the nursing process and the standards of professional
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
4. Which term involves the voluntary fortification of processed foods?
- A. Garantisadong Pambata
- B. Food Fortification
- C. Sangkap Pinoy Seal
- D. Child Health Week
Correct answer: C
Rationale: The Sangkap Pinoy Seal signifies the voluntary fortification of processed foods in the Philippines. It serves as a mark that indicates the inclusion of essential nutrients in processed food products to address specific nutrient deficiencies in the population.
5. In the recent technological innovations, which of the following describe researches that are made to improve and make human life easier?
- A. Pure research
- B. Basic research
- C. Applied research
- D. Experimental research
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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