ATI RN
Concepts and Cases in Nursing Ethics Test Bank Questions
Question 1 of 5
A nurse is working in a neonatal intensive care unit (NICU). The nurse wants to teach a mother of a premature baby how to give her baby a bath. Which statement by the mother reflects a readiness to learn?
Correct Answer: A
Rationale: The statement "You'll give us written instructions before we go home, correct?" reflects the mother's readiness to learn. This statement shows that the mother is actively seeking out resources and tools to help her understand and remember the instructions for giving her premature baby a bath. It indicates that she is willing to take responsibility for her baby's care and is thinking ahead to ensure she has the necessary information for when she is on her own at home. This statement demonstrates engagement and a proactive approach to learning, which are essential for successfully caring for a premature baby in a NICU setting.
Question 2 of 5
A client with cardiomyopathy receiving diuretic therapy has a urine output of 200 mL in 8 hours. Which action by the nurse is correct?
Correct Answer: C
Rationale: A urine output of 200 mL in 8 hours is considered low, especially for a client with cardiomyopathy who is receiving diuretic therapy. This could indicate inadequate cardiac output or worsening heart failure. It is crucial for the nurse to notify the healthcare provider promptly so that appropriate interventions can be initiated to address the underlying cause and prevent further complications. Waiting for improvement without taking action could lead to deterioration in the client's condition.
Question 3 of 5
The nurse hears a grating sound while assessing the range of motion of a patient’s hip. How should the nurse document this finding?
Correct Answer: D
Rationale: Crepitation refers to a grating sound or sensation that occurs when there is rubbing together of the roughened articular surfaces of bones within a joint. It is commonly associated with conditions such as osteoarthritis or joint injury.
Therefore, if the nurse hears a grating sound while assessing the range of motion of a patient's hip, the appropriate documentation of this finding would be crepitation.
Question 4 of 5
A client diagnosed with a deep vein thrombosis (DVT) is receiving intravenous heparin. Which is the priority outcome for this client?
Correct Answer: C
Rationale: The priority outcome for a client with deep vein thrombosis (DVT) receiving intravenous heparin is to prevent bleeding. Heparin is an anticoagulant medication used to prevent the formation of blood clots, but one of its potential side effects is bleeding due to its ability to prevent blood clotting. It is crucial to closely monitor the client for signs of bleeding while on heparin therapy, such as easy bruising, black or tarry stools, blood in the urine, or excessive bleeding from wounds. Preventing bleeding is essential to avoid complications associated with anticoagulant therapy.
Question 5 of 5
A patient has developed a paralytic ileus following recent abdominal surgery. What is the most important nursing action when caring for this patient?
Correct Answer: C
Rationale: Ensuring that the nasogastric tube is functioning is the most important nursing action when caring for a patient with a paralytic ileus. A paralytic ileus is a condition where there is a temporary paralysis of the intestine, leading to a lack of bowel motility. This can result in a buildup of gas and fluids in the intestines, causing abdominal distension, pain, and potential complications.