ATI RN
Age Specific Patient Care Questions
Question 1 of 5
The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient, who has had three successive spontaneous abortions, reached the twelfth week of pregnancy on the fourth attempt, when she passed a moderate amount of blood with clots per vaginam and complained of intermittent lower abdominal pain. On vaginal examination, the cervical canal admitted one finger readily and bimanual palpation revealed a uterus compatible in size with a pregnancy of only eight weeks duration. The menstrual cycle had been regular (5/28) before this pregnancy and the duration of pregnancy calculated from the first day of the last menstrual period was definitely known. Which one of the following is the most likely diagnosis?
Correct Answer: C
Rationale: Bleeding, pain, open cervix, and uterine size smaller than expected (8 weeks vs. 12 weeks) suggest incomplete abortion (C), where some products of conception remain. Threatened abortion (A) has a closed cervix, cervical incompetence (B) lacks bleeding, ectopic (D) has different signs, and missed abortion (E) has no expulsion.
Question 3 of 5
A health care provider writes these new prescriptions for a resident in a skilled nursing facility: 2G sodium diet, Restraint as needed, Limit fluids to 1800~mL daily, Continue antihypertensive medication, Milk of magnesia 30~mL PO once if no bowel movement for 3 days. The nurse should:
Correct Answer: B
Rationale: Restraints may be imposed only on a written order of the health care provider that specifies the duration during which the restraints can be used. The Joint Commission guidelines and Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions that must be considered and documented before restraints are used. The other prescriptions are appropriate.
Question 4 of 5
A community health nurse visits an elderly person whose spouse died 6 months ago. Two vodka bottles are in the trash. When the nurse asks about alcohol use, this person says, 'I get lonely and drink a little to help me forget.' Select the nurses most therapeutic intervention.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which beliefs by a nurse facilitate provision of safe, effective care for older adult patients? Select one tha does not apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.