ATI LPN
ATI Medical Surgical Proctored Exam 2019 Quizlet
1. An elderly client with congestive heart failure (CHF) is admitted to the hospital. Which laboratory test result should the nurse expect to find?
- A. Elevated serum sodium level.
- B. Decreased brain natriuretic peptide (BNP) level.
- C. Increased serum creatinine level.
- D. Elevated hemoglobin and hematocrit levels.
Correct answer: C
Rationale: In clients with congestive heart failure (CHF), impaired cardiac function can lead to decreased renal perfusion, resulting in elevated serum creatinine levels. Therefore, an increased serum creatinine level is a common laboratory finding in CHF clients, indicating possible renal impairment.
2. A healthcare professional is assisting with the care of a client who is receiving IV magnesium sulfate. Which of the following medications should the healthcare professional anticipate administering if magnesium sulfate toxicity is suspected?
- A. Nifedipine
- B. Pyridoxine
- C. Ferrous sulfate
- D. Calcium gluconate
Correct answer: D
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity. In cases of magnesium sulfate toxicity, calcium gluconate is administered to counteract the effects of magnesium and restore calcium levels. Magnesium toxicity can lead to symptoms such as muscle weakness, respiratory depression, and cardiac arrhythmias. Calcium gluconate helps in reversing these effects by competing with magnesium and preventing its adverse manifestations. Nifedipine is a calcium channel blocker used for conditions like hypertension and angina, not for magnesium toxicity. Pyridoxine is vitamin B6 and is not the antidote for magnesium toxicity. Ferrous sulfate is an iron supplement and is not used to treat magnesium sulfate toxicity.
3. A patient with social anxiety disorder is learning cognitive-behavioral therapy (CBT) techniques. Which skill is most likely being taught?
- A. Avoiding social situations that cause anxiety
- B. Challenging and changing negative thoughts
- C. Using deep breathing exercises during social interactions
- D. Taking anti-anxiety medication before social events
Correct answer: B
Rationale: The correct answer is B. In cognitive-behavioral therapy (CBT) for social anxiety disorder, the focus is on challenging and changing negative thoughts that contribute to anxiety. This process involves identifying distorted thought patterns and replacing them with more balanced and realistic thoughts, helping individuals develop healthier perspectives on social situations. Choices A, C, and D are incorrect because avoiding social situations, using deep breathing exercises, and taking medication are not the primary skills taught in CBT for social anxiety disorder. CBT aims to address the underlying thought patterns and behaviors that maintain anxiety, rather than avoidance or temporary relief.
4. To prevent symptoms of fatigue, dehydration, and energy loss, what is the daily recommended minimum intake of carbohydrates?
- A. 130 g.
- B. 230 g.
- C. 330 g.
- D. 430 g.
Correct answer: A
Rationale: The correct answer is A: 130 g. The recommended minimum intake of carbohydrates to prevent fatigue, dehydration, and energy loss is 130 grams per day. Consuming an adequate amount of carbohydrates provides the body with energy and helps prevent symptoms associated with insufficient carbohydrate intake. Choices B, C, and D are incorrect as they suggest higher amounts of carbohydrate intake, which may not necessarily align with the recommended daily minimum intake for preventing symptoms of fatigue, dehydration, and energy loss.
5. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:
- A. fruits and vegetables, breads, and meats.
- B. fats, starches and sugars, and meat and milk.
- C. fruits and vegetables, meat and milk, and starches.
- D. carbohydrates, meat and meat substitutes, and fats.
Correct answer: D
Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.
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