ATI RN
Fundamental Concepts and Skills for Nursing Test Questions Questions
Question 1 of 5
A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?
Correct Answer: D
Rationale: Early preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, commonly the liver and kidneys. Severe epigastric pain is a common symptom of this organ involvement. It is caused by liver distention due to the breakdown of red blood cells and platelets, which can lead to a condition known as HELLP syndrome. This manifestation is a significant indicator of early preeclampsia and requires prompt evaluation and intervention to prevent complications for both the mother and the baby. While the other options may be present in preeclampsia, severe epigastric pain is a more specific and concerning symptom requiring immediate attention.
Question 2 of 5
The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client with a suspected transient ischemic attack (TIA) presents to the emergency department with aphasia. Based on this data, the nurse plans care based on ischemia to which portion of the brain?
Correct Answer: C
Rationale: Aphasia, which is the inability to understand or express speech, is typically associated with damage to the left hemisphere of the brain. In a client with suspected transient ischemic attack (TIA) presenting with aphasia, the nurse would plan care based on ischemia affecting the left hemisphere of the brain. The left hemisphere is responsible for language processing in most individuals, so damage in this area can result in communication deficits such as aphasia.
Question 4 of 5
A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?
Correct Answer: B
Rationale: By obtaining information on the relationship of episodes to particular foods, the nurse can assess for potential food allergies or intolerances that may be causing the patient's symptoms. Certain foods high in fat or certain food intolerances can lead to large, fatty, foul-smelling stools. Identifying any offending foods can help the patient make dietary changes to improve their symptoms. Additionally, other conditions such as malabsorption syndromes or pancreatic insufficiency could be contributing to the patient's symptoms, making it important to explore the relationship with certain foods.
Question 5 of 5
A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. The patient is nauseated, vomits clear fluid, and voids pink urine. What should the nurse do first?
Correct Answer: B
Rationale: The patient's symptoms are indicative of kidney stones causing obstruction and possibly renal colic. The sudden onset of severe crampy pain on the left side radiating into the groin, along with nausea, vomiting clear fluid, and passing pink urine (hematuria) are classic signs of kidney stones. Given the severity of the symptoms and the potential for complications, it is crucial to notify the physician immediately for further evaluation and management. Straining all urine, administering analgesics, and obtaining a bladder scan may be necessary interventions but should be done after informing the physician and following their recommendations.