ATI RN
Transcultural Concepts in Nursing Care Test Bank Questions
Question 1 of 5
The nurse monitors vital signs and laboratory values for a patient recovering from a total knee replacement. For which reason is the nurse implementing these actions?
Correct Answer: C
Rationale: The nurse is monitoring vital signs and laboratory values for the patient recovering from a total knee replacement to ensure adequate circulation to the involved extremity. After a total knee replacement surgery, there is a risk of developing complications such as deep vein thrombosis (DVT) or impaired circulation to the surgical site. Monitoring vital signs and laboratory values allows the nurse to assess for any signs of compromised circulation, which could indicate the development of complications requiring immediate intervention. By closely monitoring these parameters, the nurse can ensure that the patient's recovery is progressing smoothly and without any major complications impacting the circulation to the involved extremity.
Question 2 of 5
The nurse is caring for a client with hypertrophic cardiomyopathy. Based on this diagnosis, which class of medications does the nurse anticipate being prescribed?
Correct Answer: D
Rationale: Beta blockers are commonly prescribed for patients with hypertrophic cardiomyopathy due to their ability to help lower heart rate, reduce myocardial oxygen demand, and improve diastolic filling time. They can also help to prevent arrhythmias in these patients. Digoxin, vasodilators, and nitrates are not typically used as first-line treatment for hypertrophic cardiomyopathy.
Question 3 of 5
The nurse is assessing muscle strength. What should the nurse ask the patient to do to assess facial muscle strength?
Correct Answer: A
Rationale: Asking the patient to clench their teeth is a common way to assess muscle strength in the face, particularly the muscles involved in the jaw. Clenching the teeth engages the muscles responsible for this action, such as the masseter muscle. Assessing the ability to clench the teeth provides insight into the strength and function of these facial muscles.
Question 4 of 5
Which pathological change related to disseminated intravascular coagulation (DIC) occurs late in the course of the disease?
Correct Answer: A
Rationale: Disseminated intravascular coagulation (DI
C) is a complex, life-threatening condition characterized by widespread activation of coagulation within the blood vessels. In the early stages of DIC, there is excessive clot formation (formation of small clots) throughout the body due to the dysregulation of coagulation factors. As the disease progresses, the body's clotting factors become depleted, leading to a state of systemic anticoagulation. This anticoagulant state increases the risk of hemorrhage (bleeding) as the blood is no longer able to adequately clot.
Therefore, hemorrhage is a pathological change that occurs late in the course of DIC.
Question 5 of 5
Which theory of learning holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations?
Correct Answer: A
Rationale: The theory of constructivism holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. This theory emphasizes that learners actively construct their knowledge and understanding of the world through their experiences and interactions. In constructivism, learning is seen as a process of building upon prior knowledge, rather than passively receiving information. Learners are encouraged to explore, question, and make sense of new information based on their existing beliefs and experiences.
Therefore, the constructivist theory aligns with the idea that learning involves the assimilation and accommodation of new experiences and interpretations.