ATI RN
Concepts for Nursing Practice Giddens Test Bank Questions
Question 1 of 5
A nurse caring for a client in the in the intensive care unit (ICU) notes that the client is experiencing a ventricular tachycardia dysrhythmia. Which rhythm is a type of ventricular tachycardia?
Correct Answer: D
Rationale: Torsades de Pointes is a specific type of ventricular tachycardia characterized by a distinctive twisting pattern on an ECG. It is often associated with a prolonged QT interval and can potentially lead to a life-threatening arrhythmia known as ventricular fibrillation. Sinus tachycardia, atrial flutter, and junctional escape rhythms are not forms of ventricular tachycardia.
Question 2 of 5
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 3 of 5
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 4 of 5
A patient is experiencing changes in the renal system. What diagnostic test should the nurse expect to be prescribed to determine this patient’s glomerular filtration rate and glomerular damage?
Correct Answer: D
Rationale: Creatinine clearance is a diagnostic test that helps determine both the glomerular filtration rate (GFR) and the extent of glomerular damage in the renal system. Creatinine is a waste product produced by muscles and excreted by the kidneys. A decrease in the glomerular filtration rate indicates impaired kidney function, which could be due to glomerular damage or other renal issues. By measuring the amount of creatinine in the blood and urine over a specific period of time, creatinine clearance provides an estimate of the GFR. This test is commonly used to assess kidney function in patients with renal disease or renal impairment.
Question 5 of 5
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.