ATI RN
ATI Pediatric Proctored Exam
1. What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?
- A. Restrict intake of oral fluids and high-fiber foods
- B. Take an apical pulse for 30 seconds before administration
- C. Notify the healthcare provider of nausea, vomiting, and visual changes
- D. Hold the medications if the heart rate is greater than 110 bpm
Correct answer: C
Rationale: When a patient is prescribed verapamil and digoxin, it is crucial to monitor for signs of digoxin toxicity due to the potential interaction between these medications. Verapamil can elevate digoxin blood serum levels, increasing the risk of toxicity. Symptoms of digoxin toxicity include nausea, vomiting, and visual changes. Therefore, the most appropriate nursing consideration is to notify the healthcare provider of these symptoms. Restricting intake of oral fluids and high-fiber foods is not a specific consideration related to this medication combination. Before administering digoxin, it is essential to take an apical pulse for a full minute, not just 30 seconds, to ensure accuracy. Additionally, holding the medications if the heart rate exceeds 110 bpm is not a typical response to the combination of verapamil and digoxin, which can cause bradycardia rather than tachycardia.
2. What are the key considerations when administering opioid analgesics to a patient in pain?
- A. Monitoring for respiratory depression
- B. Administering opioid antagonist if needed
- C. Assessing respiratory rate and pain level before administration
- D. Monitoring the patient's level of consciousness
Correct answer: A
Rationale: The correct key consideration when administering opioid analgesics to a patient in pain is monitoring for respiratory depression. Opioids can lead to respiratory depression, making it crucial to carefully monitor the patient's breathing. Administering an opioid antagonist is not a key consideration during the administration of opioids; it is used to reverse opioid effects in cases of overdose, not as a routine practice. Assessing respiratory rate and pain level before administration is important but not the key consideration compared to monitoring for respiratory depression. Monitoring the patient's level of consciousness is also essential but not as critical as monitoring for respiratory depression when administering opioids.
3. How does the environment interact with genetic predispositions to influence mental health?
- A. The environment has no influence on mental health.
- B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks.
- C. The environment can only influence physical health, not mental health.
- D. The environment has a minimal effect on mental health outcomes.
Correct answer: B
Rationale: The correct answer is B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks. This highlights the intricate relationship between one's genetic makeup and the environmental factors they are exposed to, both contributing significantly to mental health outcomes. Choice A is incorrect as numerous studies show that the environment plays a crucial role in mental health. Choice C is incorrect as the environment can influence both physical and mental health. Choice D is incorrect as research indicates that the environment can have a substantial impact on mental health outcomes.
4. Developmental social neuroscience __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 17 Test Bank for Berk, Development Through the Lifespan, 7e
- A. involves the design of flowcharts to map the precise steps individuals use to complete tasks
- B. emphasizes that preschoolers’ thinking is full of faulty logic because they engage in hands-on exploration
- C. is devoted to studying the relationship between changes in the brain and emotional and social development
- D. involves the study of brain activity and the individual’s linear and logical cognitive processing patterns Answer: C Page Ref: 20 Skill Level: Understand Topic: Recent Theoretical Perspectives Difficulty Level: Moderate
Correct answer: C
Rationale: Developmental social neuroscience is dedicated to examining the connection between changes in the brain and emotional and social development. This field of study focuses on how the brain's development influences an individual's social and emotional behavior. By studying brain activity alongside emotional and social development, researchers can gain insights into how these aspects are interrelated and how they impact one another.
5. Which of the following amino acids are considered indispensable?
- A. Lysine
- B. Methionine
- C. Tryptophan
- D. Valine
Correct answer: A
Rationale: The correct answer is A: Lysine. Indispensable amino acids are those that the body cannot synthesize and must be obtained from the diet. Lysine, methionine, and tryptophan are all examples of indispensable amino acids. However, the question specifically asked for 3 out of the 9 indispensable amino acids, making 'Lysine' the correct choice. Choices B, C, and D are also indispensable amino acids but are not the focus of the question.
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