ATI RN
ATI Community Health Proctored Exam 2023
1. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT
- A. Chest indrawing should be present at all times
- B. The lower chest wall does not move in when the child breathes in
- C. The lower chest moves in when the child breathes in
- D. The child should be calm
Correct answer: A
Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.
2. A client is receiving discharge teaching for a new prescription of Fluoxetine for PTSD. Which of the following statements should be included in the teaching?
- A. You may experience a decreased desire for intimacy while taking this medication.
- B. You should take this medication in the evening to help promote sleep.
- C. You may experience fewer urinary adverse effects if you urinate just before taking this medication.
- D. You should wear sunglasses when outdoors due to the light sensitivity caused by this medication.
Correct answer: A
Rationale: One of the potential adverse effects of fluoxetine and other SSRIs is a decreased libido, which can impact intimacy. It is essential for the nurse to educate the client about this possible side effect to promote awareness and understanding of the medication's effects.
3. Which of the following is not an example of a homeostatic mechanism in the human body?
- A. Shivering when the body temperature falls below normal.
- B. Increasing heart rate and force of contraction when blood pressure falls.
- C. Retaining fluid excessively.
- D. Secreting insulin after a meal to return blood sugar concentration toward normal.
Correct answer: C: Retaining fluid excessively.
Rationale: The correct answer is C. Homeostatic mechanisms aim to maintain internal stability within the body. Choices A, B, and D all represent examples of homeostatic mechanisms. Shivering helps generate heat to raise body temperature back to normal levels. Increasing heart rate and force of contraction work to restore blood pressure. Insulin secretion after a meal helps regulate blood sugar levels. On the other hand, retaining fluid excessively can lead to fluid imbalance rather than maintaining internal stability, making it the incorrect choice.
4. A psychologist who studied the relationship between sociocultural factors and mental disorders would be most likely to study ________.
- A. parenting style and self-schemas.
- B. poverty and racial discrimination.
- C. peer rejection and attributional style.
- D. assimilation and accommodation.
Correct answer: B
Rationale: A psychologist who studies the relationship between sociocultural factors and mental disorders would focus on factors like poverty and racial discrimination. These factors have a significant impact on mental health outcomes within different populations. Choices A, C, and D are less directly related to sociocultural factors like poverty and racial discrimination and their influence on mental disorders, making them incorrect.
5. Carmen discovers that the DASH diet contains more fiber and ____ compared to that of the typical American diet.
- A. vitamin C
- B. iron
- C. potassium
- D. sodium
Correct answer: C
Rationale: The correct answer is C: 'potassium.' The DASH diet is rich in potassium, which helps lower blood pressure, making it more effective than the typical American diet, which is often low in this essential mineral. Choice A, 'vitamin C,' is incorrect as the comparison is about fiber and another nutrient, not vitamin C. Choice B, 'iron,' is incorrect as the discussion is about fiber and a mineral that helps lower blood pressure, not iron. Choice D, 'sodium,' is incorrect as the DASH diet actually focuses on reducing sodium intake for better blood pressure control, so it wouldn't be a nutrient found in higher amounts compared to the typical American diet.
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