ATI RN
Exam 4 Psychology
1. Which of the following characteristics best describes differences between bulimia nervosa and anorexia nervosa?
- A. Individuals with anorexia nervosa do not have as severe health risks as individuals with bulimia nervosa have.
- B. Individuals with bulimia nervosa may have a normal body weight.
- C. Individuals with anorexia nervosa have been known to binge like those with bulimia nervosa on occasion.
- D. Only those with bulimia nervosa display compensatory behaviors.
Correct answer: B
Rationale: The correct answer is B. Individuals with bulimia nervosa may maintain a normal body weight, while anorexia nervosa is often associated with severe underweight. Choice A is incorrect because individuals with anorexia nervosa actually face severe health risks due to malnutrition, electrolyte imbalances, and other complications. Choice C is incorrect as anorexia nervosa is characterized by restriction of food intake rather than binge eating. Choice D is incorrect as individuals with anorexia nervosa can also display compensatory behaviors such as excessive exercise or fasting.
2. A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)
- A. Combining data reports to reduce duplication
- B. Delegating staff evaluations to the staff nurse on the unit with the most experience
- C. Assigning the preliminary draft of the schedule to a subcommittee of staff nurses
- D. Saying no to inappropriate paperwork assignments
Correct answer: B
Rationale: Delegating staff evaluations to a staff nurse, even if experienced, is not appropriate as it falls outside their scope and responsibility. Choices A, C, and D are suitable ways to address the issue of spending excessive time on repetitive paperwork. Combining data reports, assigning the preliminary draft of the schedule to a subcommittee of staff nurses, and saying no to inappropriate paperwork assignments are all effective strategies to streamline processes and reduce managerial workload.
3. A healthcare provider is planning to administer IV Alteplase to a client who is demonstrating manifestations of a massive Pulmonary Embolism. Which of the following interventions should the healthcare provider plan to take?
- A. Administer IM Enoxaparin along with the Alteplase dose.
- B. Hold direct pressure on puncture sites for up to 30 minutes.
- C. Administer Aminocaproic acid IV prior to alteplase infusion.
- D. Prepare to administer Alteplase within 8 hours of manifestation onset.
Correct answer: B
Rationale: When administering IV Alteplase for a massive Pulmonary Embolism, the healthcare provider should plan to hold direct pressure on puncture sites for 10 to 30 minutes or until oozing of blood stops. This is crucial to prevent bleeding complications at the puncture sites. Choice A is incorrect because Enoxaparin is not usually administered along with Alteplase for a Pulmonary Embolism. Choice C is incorrect because Aminocaproic acid is not typically given prior to alteplase infusion in this situation. Choice D is incorrect because Alteplase should be administered within 2 hours of onset of manifestations for Pulmonary Embolism, not within 8 hours.
4. What laboratory finding should the nurse expect in a child with an excess of water?
- A. Decreased hematocrit
- B. High serum osmolality
- C. High urine specific gravity
- D. Increased blood urea nitrogen (BUN)
Correct answer: A
Rationale: Water excess typically leads to hemodilution, resulting in a decreased hematocrit. High serum osmolality and specific gravity would indicate dehydration, while elevated BUN could suggest renal impairment or dehydration, not fluid overload.
5. What is the intended outcome for the treatment of glaucoma?
- A. Improve the vision of the eye
- B. Strengthen the muscles of the eye
- C. Lower the intraocular pressure
- D. Dry up excess secretions
Correct answer: C
Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.
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