ATI RN
ATI Anatomy and Physiology
1. Peripheral vasodilation results in heat loss through which of the following processes?
- A. conduction
- B. convection
- C. radiation
- D. evaporation
Correct answer: C
Rationale: Peripheral vasodilation is the widening of blood vessels near the surface of the skin, allowing more blood to flow near the skin's surface. This process enhances heat loss primarily through radiation. Radiation is the transfer of heat energy in the form of electromagnetic waves. Conduction involves direct contact between objects, convection involves the transfer of heat through fluid or gas, and evaporation involves the phase change of a liquid to a gas, which cools the surface.
2. A client who is at 38 weeks gestation, is in active labor, and has ruptured membranes is being cared for by a nurse. What action should the nurse take?
- A. Insert an indwelling urinary catheter
- B. Apply fetal heart rate monitor
- C. Initiate fundal massage
- D. Initiate an oxytocin IV infusion
Correct answer: Apply fetal heart rate monitor
Rationale: When caring for a client in active labor with ruptured membranes, the priority action for the nurse is to apply a fetal heart rate monitor. This helps monitor the well-being of the fetus during labor and delivery, enabling timely interventions if any fetal distress is detected. Inserting an indwelling urinary catheter may be required in some cases, but it is not the priority in the given scenario. Fundal massage is typically done after delivery to help the uterus contract and prevent postpartum hemorrhage. Initiating an oxytocin IV infusion may be indicated to augment labor, but it is not the initial action needed in this situation.
3. Which action will the admitting nurse include in the care plan for a patient who has neutropenia?
- A. Avoid intramuscular injections
- B. Check temperature every 4 hours
- C. Omit fruits or vegetables from the diet
- D. Place a 'No Visitors' sign on the door
Correct answer: B
Rationale: The correct answer is B: 'Check temperature every 4 hours.' Neutropenic patients have a weakened immune system due to low levels of neutrophils, which are a type of white blood cell that helps fight infections. Monitoring the patient's temperature every 4 hours is crucial because the earliest sign of infection in a neutropenic patient is often a fever. This allows for early detection of any potential infections. Choices A, C, and D are incorrect because avoiding intramuscular injections, omitting fruits or vegetables from the diet, and placing a 'No Visitors' sign on the door are not specific actions directly related to managing neutropenia or monitoring for signs of infection.
4. Mental disorders are almost always _______, meaning they are influenced by multiple genes.
- A. environmental
- B. chemical circuits
- C. polygenic
- D. probabilistic
Correct answer: C
Rationale: The correct answer is C: 'polygenic.' Mental disorders are polygenic, which means they are influenced by multiple genes. This term specifically refers to conditions or traits that are caused by more than one gene. Choice A, 'environmental,' is incorrect as it doesn't directly refer to the genetic influence on mental disorders. Choice B, 'chemical circuits,' is incorrect as it is too specific and not a common term used to describe the genetic basis of mental disorders. Choice D, 'probabilistic,' is incorrect as it relates more to the likelihood or chance of something happening rather than the genetic influence on mental disorders.
5. When educating a parent of an infant with a new prescription for digoxin, which instruction should the nurse provide?
- A. Repeat the dose if the infant vomits.
- B. Mix the medication with food.
- C. Give the medication with meals.
- D. Monitor the infant's heart rate prior to administering the medication.
Correct answer: D
Rationale: The correct answer is D: 'Monitor the infant's heart rate prior to administering the medication.' It is crucial for the nurse to monitor the infant's heart rate before giving digoxin to identify any signs of digoxin toxicity early. Heart rate assessment helps in detecting and preventing potential complications associated with digoxin use. Choices A, B, and C are incorrect. Repeating the dose if the infant vomits can lead to overdose, mixing the medication with food may alter its absorption, and giving the medication with meals can affect its effectiveness. Therefore, the priority is to monitor the infant's heart rate to ensure safe administration of digoxin.
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