ATI RN
Nursing a Concept Based Approach to Learning Test Bank Questions
Question 1 of 5
A female patient who was treated 3 months ago for a urinary tract infection is experiencing the same symptoms now. What should the nurse ask the patient during the health assessment?
Correct Answer: D
Rationale: The nurse should ask the patient if she completed the antibiotic prescribed for the first urinary tract infection because it is important to determine if the initial infection was fully treated. If the antibiotic course was not completed as prescribed, it could lead to a recurrence of the infection due to incomplete eradication of the bacteria. Additionally, incomplete treatment can lead to antibiotic resistance, making it harder to treat future infections. Understanding if the patient followed through with the prescribed treatment is crucial in assessing the current situation and planning appropriate interventions.
Question 2 of 5
A patient with osteoporosis is prescribed the bisphosphonate alendronate (Fosamax). What should the nurse include when teaching the patient about this medication? Select all that apply.
Correct Answer: A
Rationale: A. Take the medication as directed with clear water only: Alendronate should be taken with a full glass of plain water on an empty stomach in the morning at least 30 minutes before consuming any food, drink, or other medications. Avoid taking it with any other liquids besides plain water, as other beverages can interfere with the absorption of the drug.
Question 3 of 5
The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to independently perform fingerstick blood sugar analysis as part of the plan of care. The client says, "I already know what you are attempting to teach because I looked everything up on the internet." Which is the best action by the nurse based on the client's statement?
Correct Answer: D
Rationale: While it is positive that the client has taken the initiative to research the procedure online, it is essential for the nurse to assess the client's actual understanding and ability to perform the fingerstick blood sugar analysis correctly. The best course of action would be for the nurse to watch the client perform a return demonstration of the skill. This will allow the nurse to provide real-time feedback, correct any errors, and ensure that the client is performing the procedure accurately and safely. Watching a return demonstration is a critical step in the client's learning process, as it confirms their comprehension and ability to apply the information effectively. It also enables the nurse to address any misconceptions or gaps in knowledge that may not have been evident from the client's statement alone.
Question 4 of 5
A client states to the nurse, "I know I have high blood pressure, but I don't want to take medication." Based on this data, which health problem is the client at risk for developing?
Correct Answer: C
Rationale: High blood pressure, also known as hypertension, is a significant risk factor for the development of cardiomyopathy. Cardiomyopathy is a condition where the heart muscle becomes weakened or enlarged, affecting its ability to pump blood effectively. If left untreated, high blood pressure can lead to chronic stress on the heart muscle, ultimately causing cardiomyopathy. The client's reluctance to take medication for high blood pressure puts them at an increased risk of developing cardiomyopathy due to the continued strain on the heart over time. It is essential for the client to understand the potential consequences of uncontrolled hypertension and to work with healthcare providers to find a suitable treatment plan to manage their blood pressure effectively and prevent the development of cardiomyopathy.
Question 5 of 5
Which best describes how congenital defects are categorized?
Correct Answer: B
Rationale: Congenital defects are categorized according to the pathophysiology and hemodynamics of the defect. This means that defects are grouped based on the underlying mechanisms that lead to the defect and how these abnormalities impact the flow of blood or other bodily functions. This classification allows healthcare providers to better understand the nature of the defect and tailor treatment plans accordingly. It helps in determining the best course of action, whether it be medical management, surgical intervention, or monitoring for potential complications. By categorizing congenital defects in this way, healthcare providers can provide more targeted and effective care for affected individuals.