ATI RN
ATI Capstone Adult Medical Surgical Assessment 1
1. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?
- A. Urine specific gravity 1.020
- B. Sodium 119 mEq/L
- C. BUN 8 mg/dL
- D. Calcium 8.7 mg/dL
Correct answer: A
Rationale: A urine specific gravity of 1.020 is within the expected reference range and indicates that the kidneys are appropriately concentrating urine, which is a sign that the syndrome of inappropriate antidiuretic hormone (SIADH) is resolving. A low sodium level (choice B) is associated with SIADH, so a sodium level of 119 mEq/L is not indicative of resolution. BUN (choice C) and calcium levels (choice D) are typically not directly related to SIADH resolution.
2. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective?
- A. I hope Wellbutrin will help my depression and also help me to finally quit smoking.
- B. I'm happy to hear that I won't need to worry too much about weight gain.
- C. It's okay to take Wellbutrin since I haven't had a seizure in 6 months.
- D. I need to be careful about driving since the medication could make me drowsy.
Correct answer: A
Rationale: Choice A is the correct answer because it shows that the patient understands the dual benefits of bupropion (Wellbutrin) in treating depression and aiding in smoking cessation. Bupropion is commonly prescribed for these reasons as it has a lower risk of weight gain compared to other antidepressants. Choices B, C, and D are not the most appropriate because they do not specifically reflect the benefits or key information related to bupropion therapy.
3. A client with chronic obstructive pulmonary disease (COPD) appears thin and disheveled. Which question should the nurse ask first?
- A. Do you have a strong support system?
- B. What do you understand about your disease?
- C. Do you experience shortness of breath with basic activities?
- D. What medications are you prescribed to take each day?
Correct answer: C
Rationale: In clients with severe COPD, shortness of breath can significantly impact their ability to perform basic activities like bathing and eating. Therefore, the nurse's priority should be to assess if shortness of breath is interfering with the client's basic activities, which can provide crucial information for planning and managing care.
4. Which best describes the concept of health promotion?
- A. Focusing on treating illness
- B. Encouraging healthy behaviors
- C. Ensuring access to care
- D. Focusing on disease prevention
Correct answer: B
Rationale: The correct answer is B: 'Encouraging healthy behaviors.' Health promotion focuses on empowering individuals and communities to take control of their health by promoting healthy behaviors and lifestyles. This approach involves education, creating supportive environments, and advocating for policies that enhance well-being. It goes beyond simply treating illness or preventing diseases, emphasizing a proactive and holistic approach to achieving and maintaining good health.
5. When interviewing a new member of the psychology department for the university newspaper, the faculty member states, 'Internal states undoubtedly exist, but it is not necessary to draw inferences about unobservable states in order to understand behavior.' This faculty member's views are most similar to the views held by?
- A. William James.
- B. F. Skinner.
- C. Sigmund Freud.
- D. Carl Rogers.
Correct answer: B
Rationale: F. Skinner's views emphasized the importance of observable behavior and dismissed the need to infer unobservable mental states. This aligns with the faculty member's statement that internal states exist but are not essential for understanding behavior. William James, known for his work in functionalism, did consider internal mental states important. Sigmund Freud focused on unconscious motives and internal conflicts. Carl Rogers emphasized the importance of subjective experiences and personal growth, which differs from the faculty member's perspective.
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