ATI RN
ADPIE Nursing Process Questions Questions
Question 1 of 5
The most likely cause of her chief complaint this morning is
Correct Answer: D
Rationale: The correct answer is D because polyuria is a common complication following hypophysectomy (removal of the pituitary gland). This procedure can disrupt the regulation of antidiuretic hormone (ADH), leading to excessive urination.
Choice A is incorrect as decreased stress would not cause polyuria.
Choice B is unlikely as the onset of diabetes mellitus is not a typical immediate postoperative complication.
Choice C is incorrect as removal of the pituitary gland would disrupt hormone regulation, possibly leading to polyuria, rather than being an expected result.
Question 2 of 5
To combat the most common adverse effects of chemotherapy, the nurse would administer an:
Correct Answer: A
Rationale: The correct answer is A: Antiemetic. Chemotherapy commonly causes nausea and vomiting as adverse effects. Antiemetics are medications specifically designed to prevent or alleviate nausea and vomiting. Administering an antiemetic helps manage these side effects and improve the patient's quality of life during chemotherapy. Antibiotics (
B) are used to treat bacterial infections, not chemotherapy side effects. Antimetabolites (
C) are a type of chemotherapy drug, not used to combat its side effects. Anticoagulants (
D) are used to prevent blood clots and are not indicated for managing chemotherapy side effects like nausea and vomiting.
Question 3 of 5
A patient’s plan of care includes the goal of increasing mobility this shift. As the patient is ambulating to the bathroom at the beginning of the shift, the patient suffers a fall. Which initial action will the nurse take next to revise the plan of care?
Correct Answer: D
Rationale: The correct initial action to take after the patient falls is to assess the patient (
Choice
D). This is important to determine the extent of any injuries sustained, assess the patient's current condition, and identify any factors that may have contributed to the fall. By conducting a thorough assessment, the nurse can gather crucial information to inform the revision of the care plan. Consulting physical therapy (
Choice
A) may be necessary later on but is not the immediate priority. Establishing a new plan of care (
Choice
B) and setting new priorities (
Choice
C) should be based on the assessment findings, making
Choice D the most appropriate initial action.
Question 4 of 5
The nurse is teaching the client about risk factors for diabetes mellitus. Which of the following risk factors for diabetes mellitus is nonmodifiable?
Correct Answer: D
Rationale:
Step 1: Define nonmodifiable risk factors - these are factors that cannot be changed or controlled by the individual.
Step 2: Advanced age is a nonmodifiable risk factor as it is determined by genetics and time.
Step 3: Poor control of blood glucose levels, foot trauma, and inappropriate foot care are modifiable risk factors that can be managed through lifestyle changes or medical interventions.
Summary:
Choice D is correct because advanced age is a nonmodifiable risk factor for diabetes mellitus, while the other choices involve factors that can be modified through appropriate actions.
Question 5 of 5
Which of the following types of cells is the immune system’s shutoff mechanism?
Correct Answer: B
Rationale: The correct answer is B: Suppressor T cells. Suppressor T cells regulate the immune response by inhibiting the activity of other immune cells to prevent overreaction and maintain immune balance. They play a crucial role in preventing autoimmune diseases and excessive inflammation. Plasma cells (
A) produce antibodies, Helper T cells (
C) assist in activating other immune cells, and B lymphocytes (
D) are involved in antibody production. Suppressor T cells specifically have the function of shutting down immune responses, making them the immune system’s shutoff mechanism.