ATI LPN
ATI Community Health Proctored Exam 2023 Quizlet
1. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:
- A. Epidemic occurrence
- B. Cyclical variation
- C. Sporadic occurrence
- D. Secular occurrence
Correct answer: B
Rationale: Cyclical variation best describes the periodic fluctuation in the number of Dengue fever cases in the community, typically increasing towards the end of the rainy season and then decreasing during drier periods. This pattern suggests a recurring cycle rather than a sudden outbreak (epidemic), random occurrence (sporadic), or gradual long-term change (secular occurrence).
2. A nurse is assessing a client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find?
- A. Meat and dairy products are eaten together
- B. Fasting occurs during Hanukkah
- C. Shellfish is eaten regularly
- D. Meat and dairy products are consumed separately
Correct answer: D
Rationale: The correct answer is D: 'Meat and dairy products are consumed separately.' Kosher dietary laws prohibit the consumption of meat and dairy products together. Observing this separation is a key aspect of Jewish dietary practices. Choice A is incorrect as meat and dairy products are not eaten together in kosher dietary practices. Choice B is incorrect as fasting does not typically occur during Hanukkah. Choice C is incorrect as shellfish is not eaten in kosher dietary practices due to being non-kosher.
3. A client is receiving IV fluids and has developed phlebitis. What is the next step the nurse should take?
- A. Monitor the site for further swelling
- B. Remove the catheter and place it in another site
- C. Reduce the flow rate of IV fluids
- D. Switch to oral hydration
Correct answer: B
Rationale: The correct next step when a client develops phlebitis while receiving IV fluids is to remove the catheter and place it in another site. Phlebitis is inflammation of a vein, and leaving the catheter in the same site can lead to further complications. Monitoring the site for further swelling, as in choice A, is not enough as the source of inflammation needs to be removed. Choice C, reducing the flow rate, may not address the underlying issue causing phlebitis. Switching to oral hydration, as in choice D, is not necessary for addressing phlebitis related to IV fluid administration.
4. A client has severe preeclampsia and is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as signs of magnesium sulfate toxicity? (Select all that apply)
- A. Respirations less than 12/min
- B. Urinary output less than 25 mL/hr
- C. Decreased level of consciousness
- D. All of the above
Correct answer: D
Rationale: Signs of magnesium sulfate toxicity include respirations less than 12/min, urinary output less than 25 mL/hr, and decreased level of consciousness. These signs indicate potential overdose of magnesium sulfate and require immediate attention to prevent further complications. Reporting these signs promptly is crucial to ensure the client's safety and well-being. Choice D, 'All of the above,' is the correct answer as all the listed findings are indicative of magnesium sulfate toxicity. Choices A, B, and C individually represent different signs of toxicity, making them incorrect on their own. Therefore, the nurse should be vigilant in identifying and reporting all these signs to prevent adverse outcomes.
5. A patient is being assessed for generalized anxiety disorder (GAD). Which symptom is the patient most likely to report?
- A. Excessive worrying about various aspects of life.
- B. Extreme mood swings between euphoria and depression.
- C. Persistent thoughts of self-harm.
- D. Hearing voices that others do not hear.
Correct answer: A
Rationale: Patients with generalized anxiety disorder (GAD) commonly present with excessive worrying about various aspects of life. This persistent and uncontrollable worry is a hallmark symptom of GAD and can significantly impact daily functioning and quality of life. Extreme mood swings (choice B), persistent thoughts of self-harm (choice C), and auditory hallucinations (choice D) are more indicative of other mental health conditions like bipolar disorder, depression, and schizophrenia, respectively. These symptoms are not specific to GAD.
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