ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the nurse that the client is experiencing Fluid Volume Deficit?
- A. Hct 53%
- B. Potassium 3.5
- C. Sodium 145
- D. HbA1c 5
Correct answer: A
Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit.
2. If a task is delegated to someone, they need to be granted the ___________ to complete the task.
- A. Authority
- B. Planning
- C. Organizing
- D. Controlling
Correct answer: A
Rationale: Correct Answer: Authority When a task is delegated, it is essential to grant the individual the authority to complete it. Authority refers to the power or right to give commands, make decisions, and enforce obedience. Planning (choice B), organizing (choice C), and controlling (choice D) are important aspects of management but do not directly address the need for authorization to carry out a delegated task.
3. Which of the following best describes the method of action of medications, such as ranitidine (Zantac), which are used in the treatment of peptic ulcer disease?
- A. Neutralize acid
- B. Reduce acid secretions
- C. Stimulate gastrin release
- D. Protect the mucosal barrier
Correct answer: B
Rationale: Medications like ranitidine (Zantac) are H2 receptor antagonists that reduce acid secretions in the stomach, helping to treat peptic ulcer disease.
4. Which perspective or viewpoint focuses on intrapsychic conflicts as the cause of psychopathology?
- A. Biological
- B. Behavioral
- C. Psychodynamic
- D. Sociocultural
Correct answer: C
Rationale: The correct answer is C: Psychodynamic. The psychodynamic perspective emphasizes the role of intrapsychic conflicts, often related to unconscious processes, in the development of psychopathology. This perspective, founded by Sigmund Freud, suggests that unresolved conflicts from early childhood experiences can manifest as mental health issues. Choice A, Biological, focuses on the physiological aspects of psychopathology, such as genetics and neurobiology. Choice B, Behavioral, looks at how behavior is learned and reinforced. Choice D, Sociocultural, considers the influence of social and cultural factors on mental health.
5. When reviewing the prescriptions for a client with a pneumothorax, which of the following actions should the nurse perform first?
- A. Assess the client's pain.
- B. Obtain a large-bore IV needle for decompression.
- C. Administer lorazepam.
- D. Prepare for chest tube insertion.
Correct answer: Obtain a large-bore IV needle for decompression.
Rationale: In a client with a pneumothorax, the priority action for the nurse is to obtain a large-bore IV needle for decompression. This intervention helps to relieve the pressure in the pleural space, allowing the lung to re-expand. Prompt decompression is crucial in managing a tension pneumothorax, which can be life-threatening. Assessing pain, administering medication, and preparing for chest tube insertion are important, but they should follow the immediate intervention of decompression in a critical situation like a tension pneumothorax.
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