ATI RN
ATI Medical Surgical Proctored Exam
1. A client is caring for a postoperative client on the surgical unit. The client's blood pressure was 142/76 mm Hg 30 minutes ago and is now 88/50 mm Hg. What action by the nurse is best?
- A. Call the Rapid Response Team.
- B. Document and continue to monitor.
- C. Notify the primary care provider.
- D. Repeat blood pressure measurement in 15 minutes.
Correct answer: A
Rationale: In this scenario, the significant drop in blood pressure indicates a potential emergency situation. The correct action is to call the Rapid Response Team (RRT) to ensure prompt intervention and prevent further deterioration that could lead to respiratory or cardiac arrest. It is crucial to act swiftly in response to such a critical change in vital signs to provide the client with the necessary care and support.
2. A nursing instructor is teaching a group of students about intimate partner violence. Which response by the students indicates no further teaching is needed?
- A. Alaska Native women report the highest rate of intimate partner violence.
- B. Caucasian women report the lowest rate of intimate partner violence.
- C. African American women report the highest rate of intimate partner violence.
- D. Asian women report the lowest rate of intimate partner violence.
Correct answer: Alaska Native women report the highest rate of intimate partner violence.
Rationale: The correct answer is A. Alaska Native women do report the highest rate of intimate partner violence. This statistic is important for healthcare professionals to be aware of to provide culturally sensitive care and interventions. Choices B, C, and D are incorrect statements. While it is essential to understand disparities in intimate partner violence rates among different populations, in this context, the focus is on recognizing the accurate information provided about Alaska Native women.
3. Reproduction is the change in body characteristics over time.
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: False
Rationale: Reproduction is the process by which living organisms produce offspring of the same kind. It is not related to changes in body characteristics over time. Therefore, the statement is false. Choices C and D are also incorrect as they do not align with the definition of reproduction.
4. What physiological reaction occurs in the body with the 'Fight or flight' response?
- A. Increased heart rate
- B. Constricted pupils
- C. Decreased blood pressure
- D. Decreased heart rate
Correct answer: A
Rationale: The 'fight or flight' response is a primal physiological reaction that prepares the body to respond to a perceived threat or danger. This response triggers an increase in heart rate to pump more blood to the muscles and vital organs, preparing the body for action. Choice B, 'Constricted pupils,' is part of the 'fight or flight' response as well, as it helps improve focus and vision. Choice C, 'Decreased blood pressure,' is incorrect because blood pressure typically increases to ensure adequate circulation during the 'fight or flight' response. Choice D, 'Decreased heart rate,' is incorrect as the heart rate increases to supply more oxygen and nutrients to the body during times of stress.
5. How does psychoanalytic theory attempt to explain personality, motivation, and mental disorders?
- A. Studying observable behavior.
- B. Analyzing conscious experience into its basic elements.
- C. Focusing on unconscious determinants of behavior.
- D. Studying the function or purpose of consciousness.
Correct answer: C
Rationale: Psychoanalytic theory focuses on the unconscious determinants of behavior to explain personality, motivation, and mental disorders. This approach suggests that hidden forces in the unconscious mind influence our thoughts, feelings, and behaviors, shaping our overall psychological makeup. Choice A is incorrect because psychoanalytic theory delves beyond observable behavior. Choice B is incorrect as psychoanalytic theory goes deeper than analyzing conscious experience alone. Choice D is incorrect as psychoanalytic theory is more concerned with unconscious processes rather than the function or purpose of consciousness.
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