ATI RN
Transcultural Concepts in Nursing Care 7th Edition Test Bank Questions
Question 1 of 5
A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements. Which client is exhibiting the highest motivation to learn?
Correct Answer: C
Rationale: The client who is excited to learn ambulation techniques (Option C) is exhibiting the highest motivation to learn. This client's enthusiasm for learning new skills related to ambulation indicates a strong willingness to actively engage in their rehabilitation process. Learning ambulation techniques is a crucial aspect of recovery following a total hip replacement, as it helps improve mobility and independence. The excitement to learn demonstrates that this client is eager to participate in their rehabilitation and is likely to be more proactive in achieving their recovery goals.
Question 2 of 5
The nurse is caring for a client diagnosed with cardiomyopathy. The client experiences tachycardia. Which medication does the nurse anticipate being prescribed?
Correct Answer: C
Rationale: In the case of a client diagnosed with cardiomyopathy and experiencing tachycardia, a beta blocker is the anticipated medication. Beta blockers work by blocking the effects of adrenaline on the heart, reducing heart rate, blood pressure, and myocardial oxygen demand. This can help manage symptoms of tachycardia in cardiomyopathy by slowing down the heart rate and improving its overall function. Other medications like ACE inhibitors and angiotensin II receptor blockers may be used to manage specific aspects of cardiomyopathy such as hypertension or heart failure, but in the context of tachycardia, a beta blocker is the preferred choice. Cardiac glycosides, like Digoxin, are used for heart failure but not primarily for managing tachycardia in cardiomyopathy.
Question 3 of 5
The nurse is caring for a client who has had a myocardial infarction. The client states, "I have been smoking for 35 years, what good will quitting do?" Which response is best?
Correct Answer: A
Rationale: The best response is "Your risk of continued coronary artery disease will decrease by half when you stop." This response provides a specific and concrete benefit of quitting smoking for the client with a history of myocardial infarction. By explaining that quitting smoking can reduce the risk of continued coronary artery disease by half, the nurse is providing motivation and encouragement for the client to make a positive change in their lifestyle. This information is factual and can help the client understand the immediate benefits of quitting smoking in relation to their current health condition.
Question 4 of 5
A client being treated for a deep venous thrombosis (DVT) is experiencing pain. Which interventions should the nurse implement? Select all that apply.
Correct Answer: B
Rationale: In this scenario, the correct interventions for a client with DVT experiencing pain are maintaining bedrest as ordered and encouraging position changes every 2 hours. Maintaining bedrest helps prevent further complications by reducing the risk of dislodging the clot. Encouraging position changes every 2 hours promotes circulation and prevents stasis, which can worsen the DVT. Applying an egg-crate mattress on the bed is incorrect as it does not directly address the pain associated with DVT or contribute to its management. Applying warm moist heat four times a day can actually increase inflammation and blood flow to the area, potentially dislodging the clot and worsening the condition. Educationally, students need to understand the rationale behind interventions for managing DVT to prevent complications and improve patient outcomes. By explaining why specific interventions are appropriate or inappropriate, students can develop critical thinking skills and clinical reasoning to provide safe and effective nursing care.
Question 5 of 5
The nurse is caring for a child with congestive heart failure (CHF). Which clinical manifestations does the nurse anticipate when assessing this child? Select all that apply.
Correct Answer: A
Rationale: In caring for a child with congestive heart failure (CHF), the nurse must anticipate certain clinical manifestations. The correct answer is A) Excessive sweating. In CHF, the heart's inability to pump effectively leads to decreased cardiac output, causing the body to compensate by activating the sympathetic nervous system, which can result in excessive sweating. Option B) Hypertension is incorrect because CHF typically presents with hypotension due to the heart's reduced ability to pump effectively. Option C) Bradycardia is incorrect as CHF commonly causes tachycardia as the body tries to compensate for the decreased cardiac output. Option D) Difficulty breathing is a common symptom of CHF due to fluid buildup in the lungs, known as pulmonary edema, but it is not included in the anticipated clinical manifestations listed in the question stem. Understanding the expected clinical manifestations of CHF in children is crucial for nurses to provide timely and appropriate care. Recognizing these signs can help nurses intervene promptly to prevent complications and improve outcomes for pediatric patients with CHF.