ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. What is a sign of inadequate perfusion?
- A. Intact sensation
- B. Pallor in toes
- C. Bounding pulses
- D. Pink fingers
Correct answer: Pallor in toes
Rationale:
2. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.
- A. lanugo
- B. corpus luteum
- C. vernix
- D. chorion
Correct answer: C
Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.
3. Gabriel is depressed as he has been looking for a job for the past year without success. Today, his best friend tried to give him two books on job interviews, but he turned down the offer. What concept best explains his reaction?
- A. Observational learning
- B. Insight learning
- C. Learned helplessness
- D. Modeling
Correct answer: C
Rationale: Gabriel's reaction of turning down the offer of job interview books from his friend despite being depressed and unsuccessful in job hunting best fits the concept of learned helplessness. Learned helplessness occurs when individuals believe they have no control over their situation, leading to passivity and feelings of helplessness. In this case, Gabriel's refusal of the books indicates a sense of resignation and belief that his efforts in finding a job will not be successful, reflecting learned helplessness. Observational learning, insight learning, and modeling do not directly align with Gabriel's reaction in this context.
4. A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?
- A. Before meals
- B. With meals
- C. At bedtime
- D. When pain occurs
Correct answer: C
Rationale: Ranitidine (Zantac) is best taken at bedtime to reduce stomach acid production overnight.
5. A client with a history of deep vein thrombosis (DVT) is receiving anticoagulant therapy. Which complication should the nurse monitor for?
- A. Pulmonary embolism
- B. Gastrointestinal bleeding
- C. Hemorrhagic stroke
- D. Renal insufficiency
Correct answer: A
Rationale: The correct answer is A, pulmonary embolism. In a client with a history of deep vein thrombosis (DVT) receiving anticoagulant therapy, the nurse should monitor for pulmonary embolism, as it is a serious complication. Pulmonary embolism occurs when a blood clot dislodges from the veins and travels to the lungs, potentially causing life-threatening consequences. Choices B, gastrointestinal bleeding, C, hemorrhagic stroke, and D, renal insufficiency, are not directly associated with deep vein thrombosis or anticoagulant therapy. While these complications may occur in other situations, they are not the primary concern when managing a client with a history of DVT.
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