ATI RN
Nursing Process Practice Questions Questions
Question 1 of 5
A client asks the nurse what PSA is. The nurse should reply that is stands for:
Correct Answer: A
Rationale: The correct answer is A: Prostate-specific antigen, which is used to screen for prostate cancer. PSA is a protein produced by the prostate gland, and elevated levels may indicate prostate cancer. Choice B is incorrect as PSA is specific to the prostate, not protein levels. Choice C is incorrect as pneumococcal strep antigen is related to pneumonia, not PSA. Choice D is incorrect as Papanicolua-specific antigen is not a recognized term, and PSA is not used to screen for cervical cancer.
Question 2 of 5
A client in the final stages of terminal cancer tells the nurse: “I wish I could be just be allowed to die. I’m tired of fighting this illness. I have lived life a good life. I only continue my chemotherapy and radiation treatment because my family wants me to.” What is the best nurse’s best response?
Correct Answer: C
Rationale: The correct response is C: “Would you like to meet with your family and your physician about this matter?” Rationale: 1. Involving the family and physician ensures a collaborative decision-making process. 2. It respects the client's autonomy and involves them in the decision-making process. 3. It promotes open communication and support from loved ones. 4. It addresses the client's concerns about continuing treatment based on family wishes. Summary: A: Refers to psychological support, but the client's primary concern is medical treatment decisions. B: Involves religious support, which may not align with the client's beliefs or address the medical decision. D: Acknowledges the client's feelings but lacks a collaborative approach involving family and healthcare team.
Question 3 of 5
Biopsy is a diagnostic procedure which:
Correct Answer: A
Rationale: The correct answer is A: Detects the presence of malignant cells. Biopsy involves taking a sample of tissue to examine under a microscope for the presence of abnormal or cancerous cells. This procedure is crucial for diagnosing cancer accurately. Choice B (Measures hemoglobin content) is incorrect because hemoglobin content is typically measured through blood tests, not biopsies. Choice C (Measures the RBC size) is incorrect as RBC size is usually assessed through a complete blood count (CBC) test, not a biopsy. Choice D (Detects arterial occlusion) is incorrect because arterial occlusion is typically diagnosed through imaging studies like Doppler ultrasound or angiography, not through a biopsy procedure.
Question 4 of 5
Which of the following actions should the nurse take to maintain patient safety when ambulating a patient for the first time postoperatively?
Correct Answer: B
Rationale: The correct answer is B: Use two people to assist the patient. This is the safest option as it provides optimal support and stability for the patient during their first postoperative ambulation. Two people can help prevent falls, ensure proper body mechanics, and offer immediate assistance if needed. Using one person (choice A) may not provide enough support. Encouraging the patient to "dangle" (choice C) may increase the risk of orthostatic hypotension. Giving a narcotic before ambulation (choice D) can impair the patient's balance and coordination, increasing the risk of falls.
Question 5 of 5
A patient asks the nurse what her diagnosis of heart failure means. Which of the ff. is the nurse’s best response?
Correct Answer: D
Rationale: The correct answer is D: “Your heart is not an efficient pump.” This response is the best choice as it accurately describes heart failure, which is a condition where the heart is unable to pump blood effectively. This leads to symptoms such as fatigue, shortness of breath, and fluid retention. Explanation: 1. Choice A is incorrect because heart failure does not mean the heart stops; it means the heart is not functioning properly. 2. Choice B is incorrect because heart failure does not necessarily mean there is dead muscle tissue in the heart. 3. Choice C is incorrect because heart failure is not about pumping too much blood; it is about the heart's inability to pump blood efficiently, leading to circulation problems and other symptoms.