ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 A with NGN
1. What is the priority when assessing a patient for possible deep vein thrombosis (DVT)?
- A. Dorsiflex the foot and check for pain.
- B. Measure the calf circumference of both legs.
- C. Check the skin for signs of redness.
- D. Perform a Doppler ultrasound scan.
Correct answer: B
Rationale: The correct answer is to measure the calf circumference of both legs when assessing a patient for possible DVT. An increase in calf circumference in one leg can indicate the presence of a DVT. Option A is incorrect because dorsiflexing the foot and checking for pain are not primary assessments for DVT. Option C is incorrect as redness of the skin may not always be present in cases of DVT. Option D is incorrect as performing a Doppler ultrasound scan is usually done after clinical assessment and to confirm the diagnosis, not as the initial priority assessment.
2. Which of the following is NOT one of the three basic areas of concern into which practical nurse management responsibilities can be categorized?
- A. Managing patients' legal affairs
- B. Managing the hypothalamus: The hypothalamus is a small area in the brain located just below the thalamus. It plays a crucial role in controlling various bodily functions, including temperature regulation, hunger, and thirst, sleep-wake cycles, and hormone regulation. The hypothalamus is also involved in the control of the autonomic nervous system and the release of hormones from the pituitary gland.
- C. Managing work center operations
- D. Managing personnel
Correct answer: A
Rationale: Managing patients' legal affairs is not a basic area of concern in practical nurse management responsibilities. The primary areas typically include managing work center operations, managing personnel, and overseeing patient care. Choice B, managing the hypothalamus, is irrelevant to nurse management responsibilities and is not a standard area of concern in this context. Choice C, managing work center operations, and Choice D, managing personnel, align more closely with the core responsibilities and concerns of practical nurse management roles.
3. Cortisol is a hormone that ________
- A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
- B. the pituitary gland releases to stimulate the adrenal gland.
- C. the adrenal gland produces that mobilizes the body to deal with stress.
- D. reduces the reuptake of the monoamine neurotransmitters.
Correct answer: C
Rationale: The correct answer is C. Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. It helps regulate metabolism, reduce inflammation, and assist in memory formulation. Choice A is incorrect as cortisol is not released by the hypothalamus and does not travel to the pituitary gland. Choice B is incorrect as cortisol is not released by the pituitary gland but acts on it to regulate hormone production. Choice D is incorrect as cortisol does not reduce the reuptake of monoamine neurotransmitters.
4. Which mineral is important in hemoglobin production?
- A. Sodium
- B. Iodine
- C. Iron
- D. Chloride
Correct answer: C
Rationale: Iron (Fe) is a critical mineral in hemoglobin production. Hemoglobin is a protein found in red blood cells that is essential for transporting oxygen throughout the body. Sodium (Choice A), Iodine (Choice B), and Chloride (Choice D) are not directly involved in hemoglobin production. Sodium is an electrolyte that helps maintain fluid balance, Iodine is essential for thyroid hormone production, and Chloride is an electrolyte that helps regulate fluid balance and acidity in the body.
5. ______________ are conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it.
- A. Risk factors
- B. Contributory causes
- C. Sufficient causes
- D. Protective factors
Correct answer: B
Rationale: The correct term for conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it is 'Contributory causes.' Risk factors (Choice A) are conditions that increase the likelihood of a negative outcome but do not imply causation. Sufficient causes (Choice C) are conditions that guarantee the occurrence of a disorder by themselves. Protective factors (Choice D) decrease the likelihood of a disorder rather than increasing it.
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