ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse’s best response?
- A. “You should never go around people after your baby is born,”
- B. “Why do you think that is a bad idea?”
- C. “Tell me more about that.”
- D. “I did that, and my kids turned out just fine.”
Correct answer: “Tell me more about that.”
Rationale:
2. A nurse is providing teaching to a client who has been prescribed digoxin for heart failure. Which of the following instructions should the nurse include?
- A. Take this medication with meals.
- B. Check your pulse before taking this medication.
- C. Take this medication with an antacid to reduce stomach upset.
- D. Increase your potassium intake while taking this medication.
Correct answer: B
Rationale: The correct answer is B: 'Check your pulse before taking this medication.' When a patient is prescribed digoxin, it is crucial to monitor their pulse rate because digoxin can cause bradycardia (slow heart rate) as a side effect. In contrast, choices A, C, and D are incorrect. Taking digoxin with meals is not necessary; it should be taken consistently at the same time every day. Taking digoxin with an antacid is not recommended as it can interfere with the absorption of the medication. While digoxin can cause hypokalemia (low potassium levels), patients should not increase their potassium intake without healthcare provider guidance to avoid potential complications.
3. Although technology has seen many advances, which two ethical principles may be in conflict because of technology?
- A. Beneficence and justice
- B. Beneficence and nonmaleficence
- C. Beneficence and veracity
- D. Beneficence and confidentiality
Correct answer: B
Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence is the ethical principle of doing good to benefit others, while nonmaleficence is the principle of doing no harm to others. With technological advances, there can be a conflict between these two principles, as the benefits of technology may inadvertently cause harm, leading to an ethical dilemma. Choices A, C, and D are incorrect because while beneficence is involved in all options, the conflicting principle of nonmaleficence specifically addresses the avoidance of harm, making it the most relevant in the context of technology's impact on ethical principles.
4. What function is associated with the dermal layer of the skin?
- A. Sensory perception
- B. To provide support and structure to the skin
- C. Protection from UV rays
- D. Insulation
Correct answer: To provide support and structure to the skin
Rationale: The correct function associated with the dermal layer of the skin is to provide support and structure to the skin. The dermis is the thickest layer of the skin and is responsible for maintaining the skin's integrity and firmness. Choices A, C, and D are incorrect as sensory perception, protection from UV rays, and insulation are functions associated with other layers of the skin, such as the epidermis and subcutaneous tissue.
5. When treating a patient for a fungal infection with IV amphotericin B, what should the nurse consistently monitor the patient's levels of to prevent drug discomfort?
- A. sodium
- B. hemoglobin
- C. calcium
- D. leukocytes
Correct answer: C
Rationale: When a patient is being treated with IV amphotericin B for a fungal infection, it is crucial to monitor the patient's calcium levels consistently. IV amphotericin B can cause hypokalemia, hypomagnesemia, and most notably, hypocalcemia. Monitoring calcium levels helps prevent drug-related discomfort and adverse effects. Sodium (Choice A), hemoglobin (Choice B), and leukocytes (Choice D) are not the primary parameters to monitor specifically for drug discomfort related to amphotericin B. Therefore, they are incorrect choices.
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