ATI RN
Concepts for Nursing Practice Giddens Test Bank Questions
Question 1 of 5
The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?
Correct Answer: D
Rationale: Obesity is a significant risk factor for the development of preeclampsia in pregnancy. Preeclampsia is characterized by high blood pressure and signs of damage to other organ systems, typically after 20 weeks of pregnancy. Obesity can lead to increased inflammation and affect the function of blood vessels, which can contribute to the development of preeclampsia. It is essential for the nurse to recognize obesity as a risk factor in this scenario to provide appropriate monitoring and interventions to ensure the health and safety of both the client and the baby.
Question 2 of 5
A patient is experiencing changes in the renal system. What diagnostic test should the nurse expect to be prescribed to determine this patient’s glomerular filtration rate and glomerular damage?
Correct Answer: D
Rationale: Creatinine clearance is a diagnostic test that helps determine both the glomerular filtration rate (GFR) and the extent of glomerular damage in the renal system. Creatinine is a waste product produced by muscles and excreted by the kidneys. A decrease in the glomerular filtration rate indicates impaired kidney function, which could be due to glomerular damage or other renal issues. By measuring the amount of creatinine in the blood and urine over a specific period of time, creatinine clearance provides an estimate of the GFR. This test is commonly used to assess kidney function in patients with renal disease or renal impairment.
Question 3 of 5
A client recovering from an acute myocardial infarction is prescribed aspirin. Which teaching points should the nurse include regarding this prescription? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse working in the intensive care unit (ICU) is caring for a client in progressive hemorrhagic shock. What does the nurse understand about the physiology of progressive shock?
Correct Answer: C
Rationale: Progressive shock leads to a mismatch between oxygen demand and supply, causing a shift from aerobic to anaerobic metabolism in cells. As oxygen delivery decreases due to factors such as decreased blood volume or cardiac output, cells are unable to meet their energy needs through aerobic metabolism. This results in the conversion of pyruvate to lactate through anaerobic glycolysis, leading to lactic acidosis and further cellular dysfunction. Recognizing this shift in metabolism is crucial for the nurse to intervene promptly to restore tissue perfusion and prevent further organ damage in the client in hemorrhagic shock.
Question 5 of 5
The nurse is completing a health history with a young adult patient diagnosed with acute postinfectious glomerulonephritis. When focusing on recent health problems, about which disease process should the nurse ask the patient?
Correct Answer: A
Rationale: Acute postinfectious glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly strep throat. This inflammatory condition affects the glomeruli in the kidneys and can result in symptoms such as hematuria, proteinuria, hypertension, and edema.
Therefore, asking the patient about recent strep throat can help establish a potential link to the development of acute postinfectious glomerulonephritis.