ATI RN
Nursing Process Practice Questions Quizlet Questions
Question 1 of 5
Hyperparathyroidism is caused by increased levels of thyroxine in blood plasma. A client with this endocrine dysfunction would experience:
Correct Answer: A
Rationale: The correct answer is A because hyperparathyroidism is not caused by increased levels of thyroxine but by overactivity of the parathyroid glands. This would lead to symptoms of heat intolerance due to increased metabolism and systolic hypertension due to the effects of excess parathyroid hormone on calcium levels.
Choice B is incorrect because diastolic hypertension and widened pulse pressure are not typical symptoms of hyperparathyroidism.
Choice C is incorrect because weight gain is not a common symptom of hyperparathyroidism.
Choice D is incorrect because anorexia and hyper-excitability are not typical symptoms of hyperparathyroidism.
Question 2 of 5
A 36 y.o. woman who has had no prenatal care comes into the hospital in active labor for her fourth child. She has vesicles evident on her perineum. The following nursing actions are appropriate to protect the unborn baby and the staff, EXCEPT:
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale:
1. Applying antibiotic ointment and placing the mother in reverse isolation are not appropriate for managing vesicles suspected to be herpes simplex virus (HSV) during labor.
2. HSV can be transmitted to the baby during vaginal delivery, leading to serious consequences.
3. Standard precautions should always be maintained to prevent the spread of infections.
4. Preparing for the possibility of a cesarean section and notifying the obstetrician about the vesicles are important steps to protect the baby and staff from potential harm.
Question 3 of 5
A nurse identifies Fatigue as a health problem and nursing diagnosis for a client receiving home care for metastatic cancer. What statement or question would be best to validate this client problem?
Correct Answer: D
Rationale: The correct answer is D because it involves collaboration with the client to validate the identified health problem. By asking the client directly if they agree that fatigue is a problem for them, it promotes client-centered care and empowers the client in their own care.
Choice A is incorrect as it assumes the nurse's assessment is enough to confirm fatigue.
Choice B is incorrect as it focuses on the nurse's analysis rather than the client's experience.
Choice C is incorrect because it is a closed-ended question that may not encourage open communication or validation from the client.
Question 4 of 5
Which of the ff is a sign or symptom of asthma?
Correct Answer: C
Rationale: The correct answer is C: Paroxysms or shortness of breath. Asthma is characterized by episodes of wheezing, coughing, chest tightness, and shortness of breath, known as paroxysms. This symptom is caused by inflammation and constriction of the airways in response to triggers such as allergens or irritants.
A: Production of abnormally thick, sticky mucus in lungs is more indicative of conditions like cystic fibrosis, not asthma.
B: Faulty transport of sodium in lung cells is associated with conditions like cystic fibrosis, not asthma.
D: Altered electrolyte balance in the sweat glands is a symptom of cystic fibrosis, not asthma.
In summary, paroxysms or shortness of breath is a key sign of asthma due to airway inflammation and constriction, distinguishing it from the other choices that are more indicative of cystic fibrosis.
Question 5 of 5
A client is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?
Correct Answer: C
Rationale: The correct formula to calculate the appropriate morphine dose for the client is 5 mg/kg of body weight. This is the most suitable formula because morphine dosing is typically based on weight to ensure appropriate pain management and to prevent adverse effects. By using this formula, the nurse can calculate the exact dose based on the client's weight, providing personalized care.
Choice A (1 mg/kg of body weight) is too low of a dose and may not effectively manage severe pain.
Choice B (5 mg/70kg of body weight) is not ideal as it does not account for variations in weight among individuals.
Choice D (10mg/70kg of body weight) would result in an overdose for most patients, potentially causing serious harm.
Therefore, by using the formula of 5 mg/kg of body weight, the nurse can ensure that the morphine dose is appropriate and safe for the client.