ATI RN
ATI Capstone Adult Medical Surgical Assessment 2
1. What are the early signs of increased intracranial pressure (IICP)?
- A. Restlessness, irritability, and confusion
- B. Sudden onset of seizures
- C. Decreased heart rate and pupillary response
- D. Loss of consciousness
Correct answer: A
Rationale: The correct answer is A: Restlessness, irritability, and confusion are early signs of increased intracranial pressure (IICP). These signs indicate that the brain is starting to experience pressure, often due to conditions such as trauma, tumors, or hemorrhage. Sudden onset of seizures (choice B) is not typically an early sign of IICP but can occur later as the pressure increases. Decreased heart rate and pupillary response (choice C) are more indicative of late-stage IICP as the brainstem becomes compromised. Loss of consciousness (choice D) is a late sign of IICP when the pressure has significantly increased and is causing significant brain dysfunction.
2. Which test is used in the diagnosis of osteoporosis?
- A. Phalen's maneuver
- B. Dual-energy X-ray absorptiometry (DXA) scan
- C. Proprioception
- D. Blood culture
Correct answer: B
Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.
3. What is the branch of psychology concerned with the diagnosis and treatment of psychological disorders called?
- A. Industrial psychology.
- B. Social psychology.
- C. Developmental psychology.
- D. Clinical psychology.
Correct answer: D
Rationale: The correct answer is D, Clinical psychology. Clinical psychology specifically deals with the diagnosis and treatment of psychological disorders. Industrial psychology (choice A) focuses on behavior in the workplace, social psychology (choice B) studies how people's thoughts, feelings, and behaviors are influenced by the actual, imagined, or implied presence of others, and developmental psychology (choice C) is the study of how and why people change over time.
4. 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.
5. A nurse is caring for a client who is experiencing excessive diarrhea. The clients arterial blood gas values are pH 7.28, PaO2 98 mm Hg, PaCO2 45 mm Hg, and HCO3 16 mEq/L. Which provider order should the nurse expect to receive?
- A. Furosemide (Lasix) 40 mg intravenous push
- B. Sodium bicarbonate 100 mEq diluted in 1 L of D5W
- C. Mechanical ventilation
- D. Indwelling urinary catheter
Correct answer: Sodium bicarbonate 100 mEq diluted in 1 L of D5W
Rationale:
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