ATI RN
Concepts for Nursing Practice Giddens Test Bank Questions
Question 1 of 9
A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?
Correct Answer: A
Rationale: The nurse would suspect that the client may be unable to read the instructions because the client mentioned needing glasses to read them later. Additionally, the client also stated that everything they need to know has already been told to them by the nurse, indicating potential difficulty with reading or understanding written instructions. It would be important for the nurse to explore further and provide alternative methods of communication or support to ensure the client receives and comprehends the necessary information for postoperative care.
Question 2 of 9
Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these clients about their medication, how should the nurse individualize care for each?
Correct Answer: A
Rationale: The correct answer is that the younger client will need more frequent monitoring than the older client. This is because age can influence how the body processes medications, including anticoagulants. While older adults may require lower dosages due to changes in metabolism and potential increased sensitivity to medications, they may still require less monitoring than younger individuals. The younger client may need more frequent monitoring to ensure the anticoagulant is being effective and not causing any adverse effects, given variations in metabolism and potential multi-drug interactions. Age is just one factor to consider when individualizing care for clients on anticoagulant therapy, and close monitoring is essential for both age groups.
Question 3 of 9
The nurse is completing a health history with a young adult patient diagnosed with acute postinfectious glomerulonephritis. When focusing on recent health problems, about which disease process should the nurse ask the patient?
Correct Answer: A
Rationale: Acute postinfectious glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly strep throat. This inflammatory condition affects the glomeruli in the kidneys and can result in symptoms such as hematuria, proteinuria, hypertension, and edema. Therefore, asking the patient about recent strep throat can help establish a potential link to the development of acute postinfectious glomerulonephritis.
Question 4 of 9
The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?
Correct Answer: D
Rationale: Obesity is a significant risk factor for the development of preeclampsia in pregnancy. Preeclampsia is characterized by high blood pressure and signs of damage to other organ systems, typically after 20 weeks of pregnancy. Obesity can lead to increased inflammation and affect the function of blood vessels, which can contribute to the development of preeclampsia. It is essential for the nurse to recognize obesity as a risk factor in this scenario to provide appropriate monitoring and interventions to ensure the health and safety of both the client and the baby.
Question 5 of 9
A client recovering from an acute myocardial infarction is prescribed aspirin. Which teaching points should the nurse include regarding this prescription? Select all that apply.
Correct Answer: B
Rationale: B. Check with your healthcare provider before taking herbal remedies: It is important to consult with a healthcare provider before taking any herbal remedies while on aspirin therapy. Herbal remedies can potentially interact with aspirin and affect its efficacy or increase the risk of side effects.
Question 6 of 9
The nurse is instructing a client on lifestyle changes to promote a healthy cardiovascular system. Which of the following should be included in this teaching session? Select all that apply.
Correct Answer: B
Rationale: B. Reduce saturated fats in the diet: Consuming high levels of saturated fats can lead to an increase in cholesterol levels, which can contribute to the development of cardiovascular diseases. Therefore, reducing saturated fats in the diet can help maintain a healthy cardiovascular system.
Question 7 of 9
A patient with adrenal cortex dysfunction is experiencing an increased amount of glucocorticoids being released into the general circulation. For which psychologic response should the nurse plan care for this patient?
Correct Answer: C
Rationale: An increased amount of glucocorticoids being released can lead to an inhibition of the immune response. Glucocorticoids have anti-inflammatory effects and suppress the immune system, which can make the patient more susceptible to infections and impair the body's ability to fight off pathogens. This can manifest as an increased risk of infections and slower wound healing in the patient with adrenal cortex dysfunction. The other options, such as delayed onset of puberty, decreased metabolic rate, and increased response to glucagon, are not directly related to the effects of increased glucocorticoids on the immune response.
Question 8 of 9
A nurse working in the intensive care unit (ICU) is caring for a client in progressive hemorrhagic shock. What does the nurse understand about the physiology of progressive shock?
Correct Answer: C
Rationale: Progressive shock leads to a mismatch between oxygen demand and supply, causing a shift from aerobic to anaerobic metabolism in cells. As oxygen delivery decreases due to factors such as decreased blood volume or cardiac output, cells are unable to meet their energy needs through aerobic metabolism. This results in the conversion of pyruvate to lactate through anaerobic glycolysis, leading to lactic acidosis and further cellular dysfunction. Recognizing this shift in metabolism is crucial for the nurse to intervene promptly to restore tissue perfusion and prevent further organ damage in the client in hemorrhagic shock.
Question 9 of 9
The nurse is positioning a client with left-sided heart failure in bed. Which sleeping position is most appropriate for this client?
Correct Answer: B
Rationale: In a client with left-sided heart failure, lying on the left side can help reduce the workload on the heart by promoting better venous return and reducing preload. This position can help decrease the amount of blood in the pulmonary circulation and improve cardiac output. Placing one pillow under the head can provide comfort and proper alignment of the airway, allowing for easier breathing. It is important to avoid excessive elevation of the head as it could increase pressure on the heart and impede circulatory function. This position can also help prevent complications such as pulmonary congestion and fluid accumulation in the lungs.