ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. How should a healthcare provider respond to a patient who is exhibiting signs of acute myocardial infarction (AMI)?
- A. Calling for emergency assistance immediately
- B. Administering nitroglycerin as prescribed
- C. Monitoring the patient's cardiac rhythm
- D. Administering oxygen and preparing for ECG
Correct answer: A
Rationale: When a patient is exhibiting signs of acute myocardial infarction (AMI), the priority action is to call for emergency assistance immediately. This ensures that the patient receives prompt and appropriate care, including interventions such as administering oxygen, nitroglycerin, and monitoring cardiac rhythm. Administering nitroglycerin should only be done if prescribed by a healthcare provider after assessment and confirmation of AMI. Monitoring the patient's cardiac rhythm is important but not the initial action needed in this critical situation. Administering oxygen and preparing for an ECG are important interventions but should follow the immediate step of calling for emergency assistance.
2. A client with diabetes mellitus receiving regular insulin should be monitored for which of the following manifestations of hypoglycemia?
- A. Bradycardia.
- B. Dry skin.
- C. Increased thirst.
- D. Increased urinary output.
Correct answer: A
Rationale: The correct answer is A, Bradycardia. Bradycardia is a common sign of hypoglycemia, which can occur as a complication of insulin therapy in clients with diabetes mellitus. Dry skin (choice B) is not typically associated with hypoglycemia. Increased thirst (choice C) and increased urinary output (choice D) are symptoms more commonly seen in conditions like hyperglycemia or diabetes insipidus, not hypoglycemia.
3. What role do hormones play in mental health and behavior?
- A. Hormones only affect physical processes, not mental health.
- B. Hormones play a critical role in regulating mood, behavior, and mental health.
- C. Hormones have no effect on behavior.
- D. Hormones are only involved in reproductive processes.
Correct answer: B
Rationale: Hormones play a critical role in regulating mood, behavior, and mental health, influencing everything from stress response to emotional stability. Choice A is incorrect because hormones have a significant impact on mental health in addition to physical processes. Choice C is incorrect as hormones do have a notable effect on behavior. Choice D is incorrect as hormones have broad functions beyond just reproductive processes.
4. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e
- A. endanger the newborn
- B. arouse the infant into alertness
- C. cause the cervix to thin and the uterine wall to contract
- D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate
Correct answer: B
Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.
5. A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV fluconazole as a first-line treatment. When administering this medication, the nurse should
- A. administer the drug with lactated Ringer's.
- B. infuse the drug no faster than 200 mg/h.
- C. avoid administering the drug through a peripheral IV.
- D. administer prophylactic heparin prior to the fluconazole.
Correct answer: C
Rationale: When administering IV fluconazole, the nurse should avoid administering the drug through a peripheral IV. Fluconazole is known to cause phlebitis and tissue irritation if infused through a peripheral IV line. It is recommended to administer fluconazole through a central venous catheter to reduce the risk of complications. Choices A, B, and D are incorrect as there is no specific recommendation to administer the drug with lactated Ringer's, infuse it at a particular rate, or administer prophylactic heparin prior to fluconazole in this scenario.
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