ATI LPN
ATI Medical Surgical Proctored Exam 2019 Quizlet
1. What action should the healthcare provider take to reduce the risk of vesicant extravasation in a client receiving intravenous chemotherapy?
- A. Administer an antiemetic before starting the chemotherapy.
- B. Instruct the client to drink plenty of fluids during the treatment.
- C. Keep the head of the bed elevated until the treatment is completed.
- D. Monitor the client's intravenous site hourly during the treatment.
Correct answer: D
Rationale: Monitoring the intravenous site hourly is essential to identify early signs of extravasation, such as swelling or pain, which can help prevent tissue damage. Prompt detection allows for immediate intervention, minimizing the risk of serious complications associated with vesicant extravasation.
2. What is the priority nursing action for a dehydrated client who needs fluids?
- A. Administer antiemetics to prevent vomiting
- B. Monitor electrolyte levels frequently
- C. Administer oral rehydration solutions
- D. Insert an NG tube for fluid administration
Correct answer: B
Rationale: The correct answer is to monitor electrolyte levels frequently. When a client is dehydrated and needs fluids, it is essential to monitor electrolyte levels to prevent complications such as electrolyte imbalances. Administering antiemetics to prevent vomiting (Choice A) may be necessary but is not the priority when addressing dehydration. Administering oral rehydration solutions (Choice C) can be beneficial, but monitoring electrolyte levels takes precedence to ensure proper hydration. Inserting an NG tube for fluid administration (Choice D) is invasive and not typically the first-line approach for managing dehydration.
3. What is a key objective of the Global Immunization Vision and Strategy (GIVS)?
- A. Eliminating non-communicable diseases
- B. Improving access to high-quality immunization services
- C. Reducing the cost of healthcare
- D. Increasing the number of healthcare professionals
Correct answer: B
Rationale: The Global Immunization Vision and Strategy (GIVS) aims to improve access to high-quality immunization services globally. This objective focuses on enhancing the availability and quality of immunization services to ensure that more individuals have access to vaccines to prevent diseases.
4. During Leopold maneuvers on a client in labor, which technique should be used by the nurse to identify the fetal lie?
- A. Apply palms of both hands to sides of the uterus
- B. Palpate the fundus of the uterus
- C. Grasp the lower uterine segment between thumb and fingers
- D. Stand facing the client's feet with fingertips outlining cephalic prominence
Correct answer: B
Rationale: Palpating the fundus of the uterus during Leopold maneuvers is crucial to identify the fetal lie. This technique allows the nurse to determine the position of the baby's back and locate the fetal heart sounds, aiding in assessing the fetal lie. Choices A, C, and D are incorrect as they do not directly relate to identifying the fetal lie during Leopold maneuvers. Applying palms to the sides of the uterus or grasping the lower uterine segment do not provide the necessary information about the fetal lie. Standing facing the client's feet and outlining cephalic prominence is more related to assessing the fetal presentation, not the fetal lie.
5. When developing a care plan for a patient with generalized anxiety disorder (GAD), which short-term goal is most appropriate?
- A. The patient will experience no episodes of anxiety within the next week.
- B. The patient will learn and practice relaxation techniques.
- C. The patient will avoid all anxiety-provoking situations.
- D. The patient will be medication-free within a month.
Correct answer: B
Rationale: Option B, 'The patient will learn and practice relaxation techniques,' is the most appropriate short-term goal for managing generalized anxiety disorder. Teaching relaxation techniques can help the patient develop coping mechanisms and reduce anxiety levels in the immediate future, making it a realistic and beneficial goal. Options A and C are not feasible in the short term as complete elimination of anxiety episodes or avoidance of all anxiety-provoking situations may not be achievable or practical within a week. Option D is not a suitable short-term goal as it overlooks the potential need for medication in managing generalized anxiety disorder.
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