ATI RN
ATI Capstone Adult Medical Surgical Assessment 2
1. What should a healthcare provider monitor for in a patient with hypokalemia?
- A. Monitor for muscle weakness
- B. Monitor for bradycardia
- C. Check deep tendon reflexes
- D. Monitor for hyperglycemia
Correct answer: A
Rationale: Corrected Rationale: Muscle weakness is a common symptom of hypokalemia and should be closely monitored in affected patients. Hypokalemia is a condition characterized by low potassium levels in the blood, which can lead to muscle weakness, cramps, and even paralysis. While bradycardia (slow heart rate) can be associated with severe hypokalemia, monitoring for muscle weakness is more specific to the condition. Checking deep tendon reflexes is not typically a primary monitoring parameter for hypokalemia. Monitoring for hyperglycemia is not directly related to hypokalemia, as hypokalemia is primarily associated with potassium levels in the blood.
2. A nurse is caring for a client who has acute pancreatitis. Which of the following interventions should the nurse take?
- A. Encourage oral intake of clear liquids
- B. Administer an antiemetic before meals
- C. Insert a nasogastric tube for suction
- D. Place the client in a supine position
Correct answer: C
Rationale: In acute pancreatitis, the gastrointestinal tract needs to rest to reduce pancreatic enzyme secretion. Inserting a nasogastric tube for suction helps decompress the stomach and reduce stimulation of the pancreas. Encouraging oral intake of clear liquids (Choice A) or administering an antiemetic before meals (Choice B) may aggravate the condition by stimulating the pancreas. Placing the client in a supine position (Choice D) may not directly address the underlying issue of reducing pancreatic stimulation.
3. A healthcare professional is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the healthcare professional plan to take?
- A. Obtain a sputum specimen
- B. Perform an Allen test
- C. Perform a finger stick
- D. Obtain a stool specimen
Correct answer: C
Rationale: The healthcare professional should perform a finger stick on a toddler as a component of the sickle turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. Finger stick is a common method used to collect blood samples, especially in pediatric patients, for various tests.
4. What information should be included as effective for preventing chronic bronchitis in a community presentation?
- A. Maintenance of ideal weight
- B. Annual influenza immunization
- C. Smoking cessation
- D. Regular moderate exercise
Correct answer: C: Smoking cessation
Rationale: Chronic bronchitis is often linked to smoking. Smoking cessation is the most effective preventive measure to reduce the risk of developing chronic bronchitis. Smoking damages the airways and leads to inflammation, making individuals more susceptible to chronic bronchitis. While maintaining an ideal weight, getting an annual influenza vaccine, and engaging in regular moderate exercise are beneficial for overall health, the most crucial intervention to prevent chronic bronchitis is quitting smoking.
5. In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation.
- A. clinical interview
- B. naturalistic observation
- C. structured observation
- D. case study
Correct answer: C
Rationale: In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation. This allows for fair and equitable observations across all participants, ensuring that each individual has the same opportunities to exhibit the behavior being studied. Choice A, clinical interview, typically involves a one-on-one interaction between a researcher and a participant focusing on collecting information through questions and answers, not providing equal opportunities for behavior display. Choice B, naturalistic observation, involves observing individuals in their natural environment without intervention or manipulation of conditions, which may not always ensure equal opportunities for behavior display. Choice D, case study, focuses on in-depth analysis of a single individual or a small group, providing detailed information but not necessarily ensuring equal opportunities for behavior display among participants.
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