ATI RN
Transcultural Concepts in Nursing Care Test Bank Questions
Question 1 of 5
A client is admitted to the hospital for a surgical intervention due to peripheral vascular disease (PVD). The nurse should be prepared to answer questions about which procedure?
Correct Answer: C
Rationale: Patients with peripheral vascular disease (PVD) often undergo percutaneous transluminal angioplasty (PTA) as a non-surgical intervention to improve blood flow in the affected arteries. PTA involves the use of a catheter with a balloon at its tip, which is inflated at the site of arterial narrowing to widen the vessel by compressing the plaque and stretching the arterial walls. This procedure helps restore blood flow and can alleviate symptoms such as claudication and ischemia in patients with PVD. Stent placement, endarterectomy, and atherectomy are other interventions that may be used in the management of PVD, but PTA is specifically known for its role in improving arterial blood flow in these patients.
Question 2 of 5
What type of stroke occurs when the blood supply to a part of the brain is cut off by a thrombus, embolus, or stenosis?
Correct Answer: D
Rationale: An ischemic stroke occurs when the blood supply to a part of the brain is obstructed, typically by a thrombus (a blood clot that forms in a blood vessel and remains attached to its place of origin) or an embolus (a blood clot that travels from a different part of the body and becomes lodged in a blood vessel in the brain). Another cause of ischemic stroke can be stenosis, which is the narrowing of a blood vessel, restricting blood flow to the brain. When the brain does not receive sufficient oxygen and nutrients due to the blockage, brain cells can be damaged or die, leading to a stroke. Ischemic strokes account for the majority of strokes and are essential to manage promptly to minimize brain damage and long-term disability.
Question 3 of 5
The nurse identifies the diagnosis of Deficient Fluid Volume as appropriate for a patient with a nasogastric tube for gastric decompression. Which actions should the nurse perform to support this diagnosis? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
At a local health fair, a male participant remarks to the nurse about urine occasionally being pink and wonders if this should be a concern. How should the nurse respond?
Correct Answer: C
Rationale: Instructing the participant to track the relationship between urine color and activities would be the most appropriate response in this situation. Occasionally having pink urine can be caused by various factors, such as certain foods, medications, strenuous exercise, or even dehydration. By tracking when the urine appears pink in relation to these activities, the participant can gather valuable information to share with a healthcare provider if needed. This approach can help identify any patterns and determine the underlying cause, guiding further evaluation or management if necessary. It allows for a proactive and informative approach before seeking medical attention, as long as there are no other concerning symptoms present.
Question 5 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.