ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
- A. The initial site dressing is 3 days old.
- B. The PICC was inserted 4 weeks ago.
- C. A securement device is absent.
- D. Upper extremity swelling is noted.
Correct answer: Upper extremity swelling is noted.
Rationale:
2. A client has a new prescription for methotrexate to treat Rheumatoid Arthritis. The nurse should expect to monitor the client for which of the following adverse effects?
- A. Insomnia
- B. Hypertension
- C. Bone marrow suppression
- D. Constipation
Correct answer: C
Rationale: The correct answer is bone marrow suppression (Choice C). Methotrexate can lead to bone marrow suppression, resulting in adverse effects such as anemia, leukopenia, and thrombocytopenia. Monitoring for signs of decreased blood cell counts is essential to prevent complications and adjust treatment as needed. Choices A, B, and D are incorrect. Insomnia, hypertension, and constipation are not typically associated with methotrexate use in the treatment of Rheumatoid Arthritis.
3. Which should the healthcare provider recognize as a DSM-5 disorder?
- A. Obesity
- B. Generalized anxiety disorder
- C. Hypertension
- D. Grief
Correct answer: B
Rationale: The DSM-5 categorizes mental health disorders for diagnostic purposes. Generalized anxiety disorder is one of the disorders listed in the DSM-5, characterized by persistent and excessive worry about various events or activities. This disorder falls under the category of anxiety disorders, which also include panic disorder, phobias, and others. Choices A, C, and D are not DSM-5 disorders. Obesity and hypertension are medical conditions, while grief, though a significant emotional response, is not classified as a mental health disorder in the DSM-5.
4. What is the primary focus of public health?
- A. Preventing disease and promoting health
- B. Providing health education
- C. Ensuring access to health care services
- D. Reducing health disparities
Correct answer: A
Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.
5. Which of the following provides greater flexibility, better balance, more endurance, and overall better health and greater longevity for older adults?
- A. Eating balanced meals
- B. Not smoking or drinking alcohol
- C. Daily physical activity
- D. Increased intake of calcium and iron
Correct answer: C
Rationale: The correct answer is C: Daily physical activity. Daily physical activity contributes to better flexibility, balance, endurance, and overall health, helping older adults maintain independence and reduce the risk of chronic diseases. Choices A, B, and D, although important for overall health, do not specifically address the benefits of greater flexibility, better balance, more endurance, and greater longevity associated with daily physical activity.
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