ATI RN
foundations of nursing test bank Questions
Question 1 of 5
The nurse is caring for a patient diagnosed with Parkinsons disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination?
Correct Answer: B
Rationale:
Correct Answer: B - Use of a raised toilet seat
Rationale: A raised toilet seat helps the patient with Parkinson's disease by providing additional height, making it easier for them to transition from sitting to standing. This aids in improving mobility and reducing the risk of falls. Furthermore, the raised seat can also promote proper positioning for bowel elimination, making the process more comfortable and effective.
Incorrect
Choices:
A: Using a bedpan does not address the issue of transitioning from sitting to standing, nor does it aid in improving bowel elimination for the patient.
C: Sitting quietly on the toilet every 2 hours may not directly address the physical challenges the patient is facing in transitioning from sitting to standing.
D: Following the outlined bowel program is important, but it does not specifically address the physical support needed to transition from sitting to standing for a patient with Parkinson's disease.
Question 2 of 5
A nursing student is learning how to perform sexual assessments using the PLISSIT model. According to this model, the student should begin an assessment by doing which of the following?
Correct Answer: D
Rationale: The correct answer is D: Ensuring patient privacy. In the PLISSIT model, ensuring patient privacy is crucial as it creates a safe and confidential environment for discussing sensitive topics like sexual health. This step helps build trust and allows the patient to feel comfortable sharing intimate details. Briefly teaching about normal sexual physiology (
A) may come later in the assessment process. Assuring confidentiality (
B) is important but doesn't address the immediate need for privacy. Asking if the patient is willing to discuss sexual functioning (
C) assumes patient readiness without first establishing a private setting.
Question 3 of 5
A nurse practitioner is assessing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states that he has pain with ejaculation. The nurse knows that the patient is exhibiting symptoms of what?
Correct Answer: C
Rationale: The correct answer is C: Prostatitis. The patient's symptoms of perineal discomfort, burning, urgency, frequency with urination, and pain with ejaculation are indicative of prostatitis. Prostatitis is inflammation of the prostate gland, leading to these symptoms. Varicocele (
A) is an enlargement of the veins within the scrotum, usually painless. Epididymitis (
B) is inflammation of the epididymis, causing scrotal pain and swelling. Hydrocele (
D) is a fluid-filled sac around the testicle, typically painless. The patient's symptoms align most closely with prostatitis due to the involvement of the prostate gland and the specific urinary and ejaculatory symptoms experienced.
Question 4 of 5
A patient, diagnosed with cancer of the lung, has just been told he has metastases to the brain. What change in health status would the nurse attribute to the patients metastatic brain disease?
Correct Answer: D
Rationale: The correct answer is D: Personality changes. Metastases to the brain can affect cognitive function and behavior, leading to personality changes. This is due to the impact on specific areas of the brain responsible for personality and behavior. Chronic pain (
A) is more commonly associated with advanced cancer and not specific to brain metastases. Respiratory distress (
B) is more likely related to lung cancer itself, not brain metastases. Fixed pupils (
C) may indicate brainstem involvement, but personality changes are a more direct and common manifestation of brain metastases.
Question 5 of 5
To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
Correct Answer: A
Rationale:
Step 1: Finasteride is a medication that works by decreasing glandular cellular activity and reducing prostate size.
Step 2: Dietary supplements can interact with finasteride, potentially affecting its effectiveness or causing adverse effects.
Step 3: Reporting the planned use of dietary supplements to the physician ensures proper monitoring and adjustment of the treatment plan.
Step 4: This communication promotes patient safety and optimal therapeutic outcomes.
Therefore, choice A is correct as it emphasizes the importance of informing the physician about dietary supplement use to ensure the efficacy and safety of finasteride.
Choices B, C, and D are incorrect as they do not directly relate to the mechanism of action or specific considerations of finasteride therapy.