ATI RN
Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 5
What characteristic of veins increases the risk for the development of a thrombus?
Correct Answer: A
Rationale: Low blood flow in veins increases the risk for the development of a thrombus. When blood flow is slow or stagnant in veins, it can lead to the formation of blood clots or thrombi. This risk is further heightened in individuals who have conditions that affect blood flow, such as being sedentary or having a condition that impairs circulation. Thrombi can pose serious health risks if they break off and travel to other parts of the body, potentially causing blockages or even life-threatening complications like pulmonary embolism. Thus, low blood flow in veins is a key characteristic that increases the risk for thrombus formation.
Question 2 of 5
A client is receiving intravenous nitroprusside (Nipride) for shock. Which adverse reactions will the nurse assess this client for when administering the infusion? Select all that apply.
Correct Answer: A
Rationale: A. Muscle spasms: Nitroprusside infusion can lead to cyanide toxicity, which can cause muscle spasms as a symptom. It is essential for the nurse to monitor the client for any signs of muscle spasms during the infusion.
Question 3 of 5
The nurse is assessing a client being treated for congestive heart failure (CHF). Which physical findings would indicate that the client's condition is not improving? Select all that apply.
Correct Answer: D
Rationale: Wheezing breath sounds in all lobes indicate airway obstruction or narrowing, which may be a sign of worsening heart failure leading to pulmonary congestion. Wheezing can be a result of fluid accumulation in the lungs (pulmonary edema) due to inadequate pumping of the heart in CHF. Monitoring for respiratory symptoms such as wheezing is crucial in assessing the effectiveness of treatment for congestive heart failure. In this case, the presence of wheezing suggests that the client's condition is not improving and requires further evaluation and intervention.
Question 4 of 5
The nurse is reviewing a patient’s manifestations to determine if dementia is present. What information will help the nurse with this determination? Select all that apply.
Correct Answer: A
Rationale: A. Dementia causes impaired short- and long-term memory: Impaired memory is a common symptom of dementia, affecting both short-term and long-term memory. Patients may struggle to remember recent events or past memories, which can significantly impact their daily functioning.
Question 5 of 5
The nurse suspects that an older female patient has a health problem affecting the renal system. Which statement did the patient make that caused the nurse to come to this conclusion?
Correct Answer: D
Rationale: The statement "My doctor told me I have a slight amount of protein in my urine" suggests that the patient has proteinuria, which is a condition where abnormal amounts of protein are found in the urine. Proteinuria can be an indication of a health problem affecting the renal system, such as kidney disease or dysfunction. This made the nurse suspect that the older female patient may have an issue with her renal system. Statements A, B, and C are common experiences related to urinary habits but do not specifically point towards a renal health problem like proteinuria does.
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