ATI RN
ATI Leadership Proctored Exam 2019
1. When a client is receiving pain medication through a PCA pump, which of the following actions should the nurse take?
- A. Educate the family not to push the button for the client while the client is asleep.
- B. Explain to the client that vital signs will be monitored regularly due to being on a PCA pump.
- C. Instruct the client to push the button only when pain is above a 7 on a scale of 0 to 10.
- D. Adjust the basal rate and decrease the lock-out interval time if the client's pain level is too high.
Correct answer: D
Rationale: When a client is receiving pain medication through a PCA pump, it is essential to adjust the settings if their pain level is not adequately controlled. Increasing the basal rate and shortening the lock-out interval time can help manage the client's pain more effectively. This adjustment should be made by the healthcare provider based on the client's pain assessment and response to the current settings. It is crucial to individualize the PCA pump settings to optimize pain management for each client. Choices A, B, and C are incorrect because educating the family not to push the button, explaining vital sign monitoring, and setting a specific pain level for button pushing are not direct actions the nurse should take to adjust the PCA pump settings for effective pain management.
2. Which medical problem is not generally associated with malnutrition?
- A. incontinence
- B. pressure sores
- C. celiac disease
- D. major surgery
Correct answer: A
Rationale: Incontinence is not typically associated with malnutrition, whereas conditions like pressure sores and celiac disease are directly linked to nutritional deficiencies and malabsorption.
3. The nurse is administering an ACE inhibitor to a client. What is the most common side effect?
- A. Cough
- B. Dizziness
- C. Hypotension
- D. Hyperkalemia
Correct answer: A
Rationale: The correct answer is A: Cough. Cough is a well-known side effect of ACE inhibitors due to an increase in bradykinin levels. This irritating cough can be bothersome to clients and should be monitored. Choice B, Dizziness, is not the most common side effect of ACE inhibitors. While ACE inhibitors can cause hypotension (Choice C), cough is more prevalent. Hyperkalemia (Choice D) is a possible side effect of ACE inhibitors but is less common compared to cough.
4. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:
- A. Rapid replacement of plasma loss
- B. Aspirin for high fever
- C. Rapid fluid and electrolyte replacement
- D. Oxygen therapy
Correct answer: B
Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.
5. What are the potential effects of childhood trauma on adult behavior?
- A. Childhood trauma is typically overcome by adulthood.
- B. Childhood trauma can have long-lasting effects on adult behavior.
- C. Childhood trauma has minimal impact on adult behavior.
- D. Childhood trauma is easily overcome with age.
Correct answer: B
Rationale: Childhood trauma can have profound and lasting effects on behavior and mental health in adulthood. It can lead to various issues such as anxiety, depression, PTSD, and difficulties in forming relationships. Choice A is incorrect because childhood trauma doesn't automatically disappear with age. Choice C is incorrect as research shows that childhood trauma can significantly impact adult behavior. Choice D is incorrect as overcoming childhood trauma is usually a complex and challenging process that may require therapy and support.
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