ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
A nurse cares for a client with chronic obstructive pulmonary disease (COPD). The client states that going out with friends is no longer enjoyable. How would the nurse respond?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates therapeutic communication by encouraging the client to express their thoughts and feelings. This approach helps the nurse understand the underlying reasons for the client's behavior and can lead to addressing issues such as anxiety or depression. Option A is incorrect as it doesn't address the client's emotional needs. Option B is incorrect as prescribing medication should not be the first response to social withdrawal. Option D is incorrect as it overlooks the importance of exploring the client's emotional state. Overall, option C is the best choice as it promotes open communication and a holistic approach to addressing the client's concerns.
Question 2 of 5
The nurse closely monitors for hypercalcemia, an oncologic emergency that is manifested by.
Correct Answer: B
Rationale: The correct answer is B: Fatigue, confusion, and weakness. Hypercalcemia is characterized by high levels of calcium in the blood, leading to neurological symptoms like fatigue, confusion, and weakness. This occurs due to the effect of excess calcium on the nervous system. Choices A, C, and D are incorrect as hypertension and bradycardia are not typical manifestations of hypercalcemia, laboratory results of potassium and sodium levels do not specifically indicate hypercalcemia, and decreased urine output is not a typical symptom of hypercalcemia.
Question 3 of 5
A young adult patient tells the health care provider about experiencing cold, numb fingers and Raynaud’s phenomenon is suspected. What type of testing should the nurse anticipate explaining to the patient?
Correct Answer: C
Rationale: The correct answer is C: Autoimmune disorders. Raynaud's phenomenon is characterized by cold, numb fingers due to vasoconstriction of blood vessels in response to cold or stress. It is often associated with autoimmune disorders like lupus or scleroderma. Testing for autoimmune disorders may include antinuclear antibody (ANA) testing, rheumatoid factor (RF) testing, and specific autoantibody testing. Explanation for why the other choices are incorrect: A: Hyperglycemia is high blood sugar levels, which is not directly related to Raynaud's phenomenon. B: Hyperlipidemia is high levels of fats in the blood, which is not directly related to Raynaud's phenomenon. D: Coronary artery disease is a condition of the heart's blood vessels, and it is not directly related to Raynaud's phenomenon.
Question 4 of 5
Diltiazem (Cardizem) is prescribed for a patient with newly diagnosed Prinzmetal's (variant) angina. Which action of diltiazem is accurate for the nurse to include in the teaching plan?
Correct Answer: C
Rationale: Step 1: Diltiazem is a calcium channel blocker. Step 2: Calcium channel blockers like diltiazem work by relaxing and dilating coronary arteries. Step 3: Coronary artery spasms are a characteristic feature of Prinzmetal's angina. Step 4: Therefore, the accurate action of diltiazem is to decrease coronary artery spasms. Summary: Choice A is incorrect because diltiazem does not directly reduce heart palpitations. Choice B is incorrect because diltiazem does not prevent coronary artery plaque. Choice D is incorrect because diltiazem does not increase the contractile force of the heart.
Question 5 of 5
A 62-yr-old patient who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): 1. The sudden increase in blood pressure to 198/110 mm Hg indicates a hypertensive crisis. 2. Given the absence of a history of hypertension, further evaluation is needed to determine the cause. 3. Diagnosis, treatment, and monitoring are essential to prevent complications and manage the condition effectively. Summary of Incorrect Choices: A: Waiting a few weeks for a BP recheck is not appropriate as the high BP requires immediate attention. B: While dietary changes can help manage hypertension, addressing the underlying cause is crucial in this acute scenario. D: Hospitalization may be necessary if complications arise, but this choice jumps to conclusions without proper assessment and management.