ATI RN
Nursing Process Test Questions Questions
Question 1 of 5
Which of the ff. statements does the nurse understand is true concerning air conduction of sound in the ear?
Correct Answer: B
Rationale: The correct answer is B because air conduction is less efficient than bone conduction due to the sound waves traveling through the air in the ear canal, which can be hindered by factors like blockages or obstructions. This results in a weaker and less clear sound transmission compared to bone conduction, where sound waves are transmitted directly through the bones of the skull, bypassing any potential obstructions in the ear canal.
Incorrect choices:
A: This statement is incorrect as air conduction of sound in the ear is not caused by the vibration of bones in the skull.
C: This statement is incorrect as air conduction is typically heard for a shorter duration than bone conduction.
D: This statement is incorrect as air conduction of sound in the ear is not caused by the transmission of heat through the air, but rather by sound waves traveling through the ear canal.
Question 2 of 5
What is the first action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Check for neurologic status. This is the first action because assessing the patient's neurologic status helps identify any immediate threats to their health and guides further interventions. It is crucial to ensure the patient's safety and prioritize interventions based on their neurologic status. Starting an IV for fluids (
A), getting an ECG (
B), and placing a Foley catheter (
C) are important interventions but should come after assessing the patient's neurologic status to address any urgent issues first.
Question 3 of 5
Which common side effect of metolazone (Zaroxolyn) should the nurse instruct a patient to report to the health- care provider?
Correct Answer: C
Rationale: The correct answer is C: Muscle weakness. Metolazone is a diuretic that can lead to low potassium levels, causing muscle weakness. Instructing the patient to report muscle weakness is crucial to prevent any potential serious complications. Numb hands, gastrointestinal distress, and nightmares are not commonly associated with metolazone and do not pose as immediate risks as muscle weakness does. It is essential to prioritize the most critical side effect to ensure the patient's safety and well-being.
Question 4 of 5
What is the nurse’s firstaction?
Correct Answer: B
Rationale: The correct answer is B. First, reviewing lab results for potassium level is important in assessing potential electrolyte imbalances that may contribute to the patient's symptoms. This allows for a comprehensive understanding of the patient's condition. Assessing the patient for other symptoms or problems is crucial to gather additional information. Finally, notifying the healthcare provider ensures timely communication and collaboration for appropriate care.
Choice A is incorrect as following a clinical protocol for a stroke is premature without a comprehensive assessment.
Choice C is incorrect as administering medication without a thorough assessment and provider notification can be dangerous.
Choice D is incorrect as notifying the healthcare provider should precede administering any medication.
Question 5 of 5
Which of the ff nursing interventions ensure that a client with Hodgkin’s disease remains free of infection? Choose all that apply
Correct Answer: C
Rationale:
Rationale:
C: Practice conscientious hand washing is correct as it helps prevent the spread of infection. Proper hand hygiene is essential in reducing the risk of infection transmission to the client with Hodgkin's disease.
A: Apply ice to the skin for brief periods is incorrect as it does not directly relate to preventing infection in the client.
B: Provide cool sponge baths is incorrect as it mainly addresses comfort and hygiene but does not specifically target infection prevention.
D: Use cotton gloves Restrict visitors or personnel with infections from contact with the client is incorrect because while using gloves can help prevent the spread of infection, restricting visitors with infections is not under the direct control of the nurse.
Summary:
Practicing conscientious hand washing is crucial in preventing infection in a client with Hodgkin's disease, while the other choices do not directly address infection control in this context.