ATI RN
ATI Leadership Proctored Exam 2019
1. A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?
- A. Infuse dextrose 50% by slow IV push.
- B. Administer 1 mg glucagon subcutaneously.
- C. Obtain a glucose reading using a finger stick.
- D. Have the patient drink 4 ounces of orange juice.
Correct answer: C
Rationale: The correct action for the nurse to take first when a patient reports feeling lightheaded and sweaty after being weaned off an insulin drip is to obtain a glucose reading using a finger stick. This will provide crucial information on the patient's current blood glucose level, helping the nurse assess if the symptoms are due to hypoglycemia. Based on the glucose reading, appropriate interventions can be initiated, such as administering dextrose, glucagon, or oral sugars like orange juice if hypoglycemia is confirmed. However, verifying the blood glucose level is the initial step to guide subsequent actions and ensure patient safety.
2. A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the nurse know regarding the treatment plan?
- A. Amputation of the affected extremity is rarely necessary.
- B. Intensive radiation is the primary treatment modality.
- C. Treatment usually consists of surgery and chemotherapy.
- D. Bone marrow transplantation is the preferred option for long-term survival.
Correct answer: C
Rationale: Osteosarcoma is typically treated with a combination of surgery and chemotherapy. This approach aims to remove the tumor and reduce the risk of metastasis. Amputation of the affected extremity may be necessary in some cases to ensure complete removal of the tumor. Intensive radiation is not the primary treatment for osteosarcoma, and bone marrow transplantation is not the standard treatment for this type of cancer.
3. What is the most appropriate nutritional advice for a patient with hypertension?
- A. Increase salt intake
- B. Reduce fiber intake
- C. Increase potassium intake
- D. Increase sugar intake
Correct answer: C
Rationale: Increasing potassium intake can help manage blood pressure levels in patients with hypertension.
4. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?
- A. Education
- B. Safety
- C. Policy-making
- D. Vaccination
Correct answer: B
Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.
5. A __________ is a means of building schemes in which an infant who has stumbled onto a new experience caused by his or her own motor activity tries to repeat the event again and again.
- A. sensorimotor reflex
- B. circular reaction
- C. mental representation
- D. goal-directed behavior
Correct answer: B
Rationale: A circular reaction is a process where an infant repeats a specific action to explore and learn about the environment through their own motor activity. This repetition helps the infant to understand the consequences of their actions and build cognitive schemes. Sensorimotor reflex (choice A) refers to automatic responses to stimuli, not a purposeful repetition of actions to learn. Mental representation (choice C) involves internal cognitive structures to represent objects or events in the mind, which is different from the repetitive behavior described in the question. Goal-directed behavior (choice D) is purposeful and intentional, unlike the repetitive nature of circular reactions in infants' learning process.
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