ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates need for further teaching about preventing dry skin?
- A. ‘I will drink at least 3000 mL of water daily.”
- B. . ‘I will shower every day in hot water.”
- C. ‘I will avoid tights belts.”
- D. ‘I will use a humidifier during the winter months.”
Correct answer: . ‘I will shower every day in hot water.”
Rationale:
2. The information-processing approach views the human mind as a __________.
- A. socially mediated process
- B. collection of stimuli and responses
- C. system of genetically programmed behaviors
- D. symbol-manipulating system through which information flows
Correct answer: D
Rationale: The information-processing approach views the human mind as a symbol-manipulating system through which information flows. This perspective emphasizes how information is received, processed, stored, and retrieved in the mind, similar to how a computer processes data through symbols and operations. Choices A, B, and C are incorrect because they do not align with the fundamental principles of the information-processing approach, which focuses on the mind's symbolic manipulation of information rather than being a socially mediated process, a collection of stimuli and responses, or a system of genetically programmed behaviors.
3. What are the pressure-sensitive structures located in the aortic and carotid bodies called?
- A. Baroreceptors
- B. Chemoreceptors
- C. Nociceptors
- D. Mechanoreceptors
Correct answer: A
Rationale: Baroreceptors are the correct answer. Baroreceptors are specialized sensory receptors that detect changes in pressure within blood vessels. They are primarily located in the aortic arch and carotid sinuses, where they play a crucial role in regulating blood pressure. Chemoreceptors (Choice B) are receptors that detect chemical changes, not pressure changes. Nociceptors (Choice C) are responsible for detecting painful stimuli. Mechanoreceptors (Choice D) respond to mechanical stimuli such as touch, pressure, and vibration, but they are not specifically located in the aortic and carotid bodies.
4. A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?
- A. Replace salt with pepper when seasoning water.
- B. Request that coffee is removed from meal trays.
- C. Offer pork with two meals per week.
- D. Provide a high-protein snack between meals.
Correct answer: B
Rationale: Seventh-Day Adventists typically avoid stimulants like caffeine, so requesting that coffee is removed from meal trays is appropriate.
5. 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.
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