ATI RN
ATI Gastrointestinal System Quizlet
1. Which of the following symptoms indicates diverticulosis?
- A. No symptoms exist
- B. Change in bowel habits
- C. Anorexia with low-grade fever
- D. Episodic, dull, or steady midabdominal pain
Correct answer: A
Rationale: Diverticulosis often has no symptoms and is usually found incidentally during tests for other conditions.
2. What should the healthcare provider do if a patient presents with chest pain and possible acute coronary syndrome?
- A. Administer sublingual nitroglycerin
- B. Administer aspirin
- C. Obtain cardiac enzymes
- D. Get IV access and auscultate heart sounds
Correct answer: A
Rationale: Administering sublingual nitroglycerin is the priority action in the treatment of chest pain in acute coronary syndrome. Nitroglycerin helps dilate blood vessels, improving blood flow to the heart and relieving chest pain. Aspirin can also be given to reduce clot formation, but nitroglycerin takes precedence in providing immediate relief. Obtaining cardiac enzymes and assessing heart sounds are important steps in the diagnostic process but do not address the immediate need to relieve chest pain and prevent cardiac tissue damage. Therefore, administering sublingual nitroglycerin is the most appropriate initial intervention for a patient presenting with chest pain and possible acute coronary syndrome.
3. Which of the following theories best describes current health care delivery systems?
- A. Open system theory
- B. Closed system theory
- C. Chaos theory
- D. Contingency theory
Correct answer: D
Rationale: The contingency theory best describes the current health care delivery systems. Contingency theory emphasizes that there is no one best way to organize or manage, and the effectiveness of an organization is contingent upon internal and external factors. In healthcare, the delivery systems must often adapt and be flexible in response to various factors like patient needs, technological advancements, and regulatory changes. Open system theory focuses on the interaction between a system and its environment, but it does not capture the dynamic and adaptive nature of current healthcare systems. Closed system theory suggests systems are self-contained and do not interact with the environment, which is not accurate for healthcare systems that constantly interact with patients, providers, and external factors. Chaos theory deals with complex systems and unpredictability, which while relevant to some aspects of healthcare, does not provide a comprehensive framework for understanding healthcare delivery systems.
4. Your values do not coincide with your colleagues. When you report for your shift on nights and staff are not responding to patient requests for pain medication, you, as the nurse responsible for collecting data about patient quality of care, should:
- A. Explain to the nurse manager that quality problems are because of staff apathy.
- B. Issue a memo to staff to assess patients and document their response to the pain medication.
- C. Explain to staff that improving quality is one of your annual goals and you expect them to follow through.
- D. Schedule meetings to engage with staff to monitor pain management.
Correct answer: D
Rationale: As the nurse responsible for collecting data about patient quality of care, it is important to address the issue of staff not responding to patient requests for pain medication. Scheduling meetings to engage with staff to monitor pain management is the most appropriate course of action in this scenario. By enlisting support from staff, reviewing patient satisfaction data, and quality reports about pain management, you can effectively address the issue and improve patient care. Choices A, B, and C are not as effective as they do not involve actively engaging with staff, reviewing data, and working collaboratively to address the problem.
5. Which action is an example of primary prevention in community health?
- A. Administering immunizations
- B. Providing treatment for diseases
- C. Educating about the importance of healthy lifestyles
- D. Conducting health screenings
Correct answer: A
Rationale: Administering immunizations is a prime example of primary prevention in community health. Primary prevention focuses on preventing diseases before they occur by taking proactive measures such as immunizations. Immunizations help individuals develop immunity against specific diseases, reducing the likelihood of their occurrence within a community.
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