ATI RN
ATI Community Health Proctored Exam 2019
1. What can be an equally effective medicinal alternative to relieve muscle and joint pains that is non-costly, especially in far-flung communities and provinces, apart from the muscle pain-relieving drug advertised by Manny Pacquiao in the Philippines market?
- A. Sambong
- B. Lagundi
- C. Akapulko
- D. Yerba Buena
Correct answer: D
Rationale: Yerba Buena is a well-known herbal medicine in the Philippines that is traditionally used for its muscle pain-relieving properties. It is a cost-effective alternative that can be easily accessible, particularly in remote areas where access to modern medicines may be limited. Yerba Buena has been proven effective in providing relief for muscle and joint pains, making it a suitable option for those seeking a non-costly remedy in such communities.
2. A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should not base her actions on which of the following information?
- A. The student should use his quick-relief inhaler.
- B. The student's asthma is not well controlled.
- C. The student's peak flow is 50% to 80% of his best peak flow.
- D. The student needs to go to the hospital
Correct answer: The student needs to go to the hospital
Rationale: In an asthma action plan, the yellow zone indicates caution and signals a need to monitor symptoms closely. When a student is in the yellow zone, the appropriate action is to follow the prescribed steps, which typically include using a quick-relief inhaler and closely monitoring peak flow. Going to the hospital is usually reserved for severe asthma exacerbations in the red zone. Therefore, the information that the student needs to go to the hospital is not typically appropriate when the student is in the yellow zone.
3. Where is Vitamin K synthesized?
- A. by bacteria in the GI tract
- B. by the body by sunlight
- C. deficiency is called beriberi
- D. found in vegetable oils
Correct answer: A
Rationale: Vitamin K is synthesized by bacteria in the gastrointestinal tract. Choice B is incorrect as the synthesis of Vitamin D, not K, can be induced by sunlight exposure. Choice C is incorrect as beriberi is a condition caused by thiamine (Vitamin B1) deficiency, not Vitamin K. Choice D is incorrect as Vitamin E is commonly found in vegetable oils, not Vitamin K.
4. What are the common side effects of opioid analgesics, and how should they be managed?
- A. Drowsiness and dizziness, ensuring safety precautions
- B. Respiratory depression, ensuring adequate ventilation
- C. Constipation and nausea, managed with stool softeners
- D. Nausea and vomiting, managing with antiemetics
Correct answer: A
Rationale: The correct answer is A. Common side effects of opioid analgesics include drowsiness and dizziness. These side effects can impair a person's ability to operate machinery or drive safely. To manage these side effects, it is essential to advise patients to avoid activities that require alertness until they know how the medication affects them. Choices B, C, and D are incorrect because respiratory depression, constipation, and nausea are also common side effects of opioids, but they are not the primary side effects being asked for in this question.
5. A 60-year-old patient with chronic myeloid leukemia will be treated in the home setting and the nurse is preparing appropriate health education. What topic should the nurse emphasize?
- A. The importance of adhering to the prescribed drug regimen
- B. The need to ensure that vaccinations are up to date
- C. The importance of daily physical activity
- D. The need to avoid shellfish and raw foods
Correct answer: A
Rationale: Chronic myeloid leukemia (CML) is typically treated with targeted therapies, such as tyrosine kinase inhibitors (TKIs), which can help control the disease and prolong survival. The effectiveness of these medications relies heavily on strict adherence to the prescribed drug regimen. Patients need to take their medication consistently and as directed to maintain therapeutic drug levels and effectively manage the disease. Non-adherence can lead to disease progression or resistance to treatment, which is why it is crucial for the nurse to emphasize this point during health education.
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