ATI RN
Concepts for Nursing Practice Giddens Test Bank Questions
Question 1 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 2 of 5
The nurse is concerned after performing a neurovascular assessment on an older patient with a lower arm cast. Which finding caused the nurse to become concerned?
Correct Answer: A
Rationale: A neurovascular assessment is performed to evaluate nerve function, circulation, and tissue perfusion. Pale, cold fingers indicate poor circulation, which can be a sign of compromised blood flow from the cast causing decreased oxygen supply to the tissues. This finding is concerning as it suggests potential nerve or vascular compromise, which could lead to serious complications if not addressed promptly. It is important for the nurse to report this finding to the healthcare provider for further evaluation and intervention.
Question 3 of 5
A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?
Correct Answer: A
Rationale: The nurse would suspect that the client may be unable to read the instructions because the client mentioned needing glasses to read them later. Additionally, the client also stated that everything they need to know has already been told to them by the nurse, indicating potential difficulty with reading or understanding written instructions. It would be important for the nurse to explore further and provide alternative methods of communication or support to ensure the client receives and comprehends the necessary information for postoperative care.
Question 4 of 5
The nurse is instructing a client on lifestyle changes to promote a healthy cardiovascular system. Which of the following should be included in this teaching session? Select all that apply.
Correct Answer: B
Rationale: In teaching a client about lifestyle changes to promote a healthy cardiovascular system, it is essential to emphasize accurate information to ensure optimal health outcomes. The correct answer, reducing saturated fats in the diet (Option B), is crucial because a diet high in saturated fats can lead to elevated cholesterol levels and increase the risk of cardiovascular diseases like atherosclerosis and hypertension. By limiting saturated fats, individuals can improve their heart health and overall well-being. Option A, limiting exercise to 15 minutes a day, is incorrect because regular physical activity is vital for cardiovascular health. Exercise helps strengthen the heart, improve circulation, and maintain a healthy weight. Encouraging clients to engage in at least 30 minutes of moderate exercise most days of the week is more appropriate guidance. Option C, avoiding cigarette smoking, is also a crucial lifestyle change to promote cardiovascular health. Smoking is a leading risk factor for heart disease as it damages blood vessels, increases blood pressure, and reduces oxygen delivery to the heart. Therefore, smoking cessation is a priority in cardiovascular health promotion. Option D, wearing elastic hose, is not directly related to promoting a healthy cardiovascular system through lifestyle changes. Elastic hose may be recommended for specific conditions like venous insufficiency to improve circulation in the legs but is not a primary preventive measure for overall cardiovascular health. In an educational context, teaching clients about lifestyle modifications for cardiovascular health is a key aspect of nursing practice. Providing evidence-based information empowers individuals to make informed choices that can positively impact their well-being. By explaining the rationale behind each recommendation, nurses can effectively guide clients towards adopting healthier habits and reducing their risk of cardiovascular diseases.
Question 5 of 5
A 72-year-old client diagnosed with hypertrophic cardiomyopathy (HCM) is speaking to the healthcare team about treatment options. Which treatment option would likely not be recommended for this client, even though it is commonly used to treat younger clients with this condition?
Correct Answer: D
Rationale: Although physical activity restrictions are commonly recommended for younger clients with hypertrophic cardiomyopathy (HCM) to reduce the risk of sudden cardiac death, this may not be the best option for a 72-year-old client. Older adults can still benefit from regular physical activity to maintain overall health and mobility. It is important to individualize the exercise recommendations based on the client's overall health status, functional capacity, and specific considerations related to their condition. In this case, the healthcare team would likely focus on other treatment options such as beta-blocker or calcium channel blocker administration, and consider the potential benefits of defibrillator implantation for the older client with HCM.