ATI RN
ATI Medical Surgical Proctored Exam 2023
1. A client is interested in smoking cessation. Which statements should the nurse include in this client's teaching? (Select all that apply)
- A. Find an activity that you enjoy and will keep your hands busy.
- B. Make a list of reasons you want to stop smoking.
- C. Identify a punishment for yourself in case you backslide.
- D. Drink at least eight glasses of water each day.
Correct answer: A, B, C
Rationale: When educating a client on smoking cessation, the nurse should include several strategies. Finding an activity to keep hands busy helps distract from smoking urges. Making a list of reasons to quit smoking reinforces motivation. Identifying a consequence for backsliding can serve as a deterrent. Drinking water is beneficial for overall health but is not directly related to smoking cessation. It's crucial to support the client, encourage healthy habits, and address challenges without punitive measures.
2. A client has a new prescription for Hydrochlorothiazide. Which of the following information should the nurse include?
- A. Take the medication with food.
- B. Plan to take the medication at bedtime.
- C. Expect increased swelling of the ankles.
- D. Fluid intake should be limited in the morning.
Correct answer: A
Rationale: The correct answer is to take the medication with food. Hydrochlorothiazide should be taken with or after meals to prevent gastrointestinal upset. Taking it with food can help reduce the chances of stomach discomfort or nausea. It is not necessary to take the medication at bedtime, expect increased swelling of the ankles, or limit fluid intake in the morning when taking Hydrochlorothiazide. Therefore, choices B, C, and D are incorrect.
3. The nurse is giving the client digoxin for heart failure and recognizes that the drug has what type of effect on the heart?
- A. Negative inotropic, negative chronotropic effect
- B. Positive inotropic, negative chronotropic effect
- C. Negative inotropic, positive chronotropic effect
- D. Positive inotropic, positive chronotropic effect
Correct answer: B
Rationale: The correct answer is B: Positive inotropic, negative chronotropic effect. Digoxin strengthens the heart muscle, providing a positive inotropic effect, which increases the force of contraction. It also decreases the heart rate, having a negative chronotropic effect. Choice A is incorrect because digoxin has a positive inotropic effect, not a negative inotropic effect. Choice C is incorrect as digoxin does not have a positive chronotropic effect but a negative one. Choice D is incorrect because while digoxin has a positive inotropic effect, it does not have a positive chronotropic effect.
4. __________ love is strong at the beginning of a relationship.
- A. Compassionate
- B. Affectionate
- C. Passionate
- D. Companionate
Correct answer: C
Rationale: Passionate love is characterized by intense emotions and physical attraction, which are common in the early stages of relationships. Compassionate love involves deep affection, but it develops over time based on mutual respect, trust, and intimacy. Affectionate love is warm and tender, but it may not necessarily have the intense emotions associated with passionate love. Companionate love is based on friendship, respect, and affection, but it may lack the intense emotions and physical attraction that characterize passionate love.
5. Is cadaver dissection against the law in the U.S.?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: False
Rationale: Cadaver dissection is not against the law in the U.S. In fact, cadaver dissection is a common practice in medical schools and research institutions for educational and research purposes. The correct answer is 'False' because there are specific regulations and ethical guidelines that govern the use of cadavers for dissection. Choice C, 'Not Sure,' is incorrect as the legality of cadaver dissection is a well-established fact. Choice D, 'None of the above,' is also incorrect as one of the provided options is indeed correct.
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