ATI RN
ATI Gastrointestinal System
1. Which of the following conditions can cause a hiatal hernia?
- A. Increased intrathoracic pressure
- B. Weakness of the esophageal muscle
- C. Increased esophageal muscle pressure
- D. Weakness of the diaphragmic muscle
Correct answer: D
Rationale: Weakness of the diaphragmic muscle can lead to a hiatal hernia as it allows part of the stomach to push through the diaphragm into the chest cavity.
2. What is the main purpose of a patient satisfaction survey?
- A. To improve patient outcomes
- B. To evaluate nursing performance
- C. To measure patient satisfaction
- D. To assess healthcare facilities
Correct answer: C
Rationale: The main purpose of a patient satisfaction survey is to measure patient satisfaction. These surveys aim to gather feedback directly from patients regarding their experiences and perceptions of the healthcare services they have received. While patient satisfaction may impact outcomes indirectly, the primary goal of the survey is not to directly improve patient outcomes, making choice A incorrect. Choice B is incorrect because patient satisfaction surveys are not primarily focused on evaluating nursing performance specifically. Choice D is also incorrect because the main focus of the survey is on the satisfaction of patients rather than assessing healthcare facilities.
3. Which school of psychology takes the most positive view of human nature?
- A. Behaviorism.
- B. Functionalism.
- C. Humanism.
- D. Psychoanalysis.
Correct answer: C
Rationale: The correct answer is C: Humanism. Humanism is a school of psychology that focuses on the positive aspects of human nature, emphasizing personal growth, self-actualization, and the inherent goodness in individuals. Behaviorism (choice A) primarily focuses on observable behaviors and conditioning, functionalism (choice B) emphasizes the functions of consciousness and behavior adaptation, and psychoanalysis (choice D) delves into unconscious thoughts and childhood experiences, rather than having a fundamentally positive view of human nature.
4. A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature?
- A. Oral
- B. Axillary
- C. Arterial line
- D. Rectal
Correct answer: D
Rationale: In cases where the oral route is contraindicated due to oral surgery or altered consciousness, the rectal method is preferred for the most accurate body temperature reading. This method is particularly useful when the skin is flushed and warm, as it provides a reliable reflection of core body temperature despite external factors affecting the skin temperature. Axillary temperature may not be as accurate as rectal temperature due to variations caused by environmental factors and technique. Arterial line temperature monitoring is invasive and not typically used for routine temperature assessment.
5. A client has been prescribed a Beta Blocker for hypertension. Which of the following findings should the nurse monitor as an adverse effect of this medication?
- A. Bradycardia
- B. Hypertension
- C. Hyperglycemia
- D. Hypernatremia
Correct answer: A
Rationale: Bradycardia is the correct answer. Beta Blockers work by slowing down the heart rate, which can lead to bradycardia as an adverse effect. Monitoring for bradycardia is essential to prevent complications. Choices B, C, and D are incorrect because Beta Blockers do not typically cause hypertension, hyperglycemia, or hypernatremia as adverse effects.
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