Questions 9

ATI RN

ATI RN Test Bank

Nursing Process Questions and Answers PDF Questions

Question 1 of 5

A client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?

Correct Answer: B

Rationale: The correct answer is B: "Keep the stoma dry." Keeping the stoma dry helps prevent infection and skin irritation. Moisture can lead to fungal growth and skin breakdown. Option A is incorrect because keeping the stoma uncovered can increase the risk of contamination and infection. Option C is incorrect as self-care promotes independence and allows the client to become familiar with the procedure. Option D is incorrect as moisture can lead to skin issues.

Question 2 of 5

A 23 y.o. woman is seen at an outpatient clinic for a routine Pap smear. When questioned, she states she is deciding whether to engage in sexual activity with a man she is just getting to know. She asks how she can tell if he has an STD. Which response by the nurse is best?

Correct Answer: D

Rationale: Step 1: The correct answer is D because it emphasizes the importance of medical examination and diagnostic testing to determine if the man has an STD. Step 2: Visual inspection (choice B) is not reliable as some STDs may not present with visible symptoms. Step 3: Relying solely on appearance and condom use (choices A and C) does not guarantee protection against all STDs. Step 4: Choice D is the best option as it advocates for seeking professional medical advice for accurate diagnosis and treatment.

Question 3 of 5

A client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?

Correct Answer: B

Rationale: The correct answer is B: "Keep the stoma dry." Keeping the stoma dry helps prevent infection and skin irritation. Moisture can lead to fungal growth and skin breakdown. Option A is incorrect because keeping the stoma uncovered can increase the risk of contamination and infection. Option C is incorrect as self-care promotes independence and allows the client to become familiar with the procedure. Option D is incorrect as moisture can lead to skin issues.

Question 4 of 5

Which of the ff is the potential complication the nurse should monitor for when caring for a client with acute respiratory distress syndrome?

Correct Answer: B

Rationale: The correct answer is B: Renal failure. Acute respiratory distress syndrome (ARDS) can lead to hypoxemia and respiratory acidosis, causing decreased perfusion to the kidneys and potentially leading to renal failure. Monitoring for signs of renal failure, such as decreased urine output and elevated creatinine levels, is crucial in managing clients with ARDS. Incorrect choices: A: Chest wall bulging is not a common complication of ARDS. It may be seen in conditions like tension pneumothorax. C: Difficulty swallowing is not a typical complication of ARDS. It may be seen in neurological conditions or esophageal disorders. D: Orthopnea is not a direct complication of ARDS. It is more commonly associated with heart failure or pulmonary edema.

Question 5 of 5

What dietary advice should the nurse give to clients with HIV/AIDS?

Correct Answer: D

Rationale: The correct answer is D: Decrease the intake of trace elements and antioxidant supplements. Clients with HIV/AIDS do not require additional trace elements and antioxidant supplements, as excessive intake can be harmful. HIV/AIDS already places stress on the immune system, so taking excessive supplements may lead to toxicity. It is important to focus on a balanced diet rich in essential nutrients rather than overloading the body with unnecessary supplements. Encouraging a healthy, balanced diet will help support overall health and immune function in clients with HIV/AIDS. Choices A, B, and C are incorrect because encouraging excessive intake of fat-soluble vitamins, water-soluble vitamins, iron, and zinc can also lead to potential adverse effects. It is important to focus on meeting the recommended daily allowances for these nutrients rather than exceeding them.

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