Questions 9

ATI RN

ATI RN Test Bank

Adult Health Nursing Answer Key Questions

Question 1 of 5

A patient presents with pallor, fatigue, and dyspnea on exertion. Laboratory tests reveal a low hemoglobin level, low MCV, and elevated red blood cell distribution width (RDW). Which of the following conditions is most likely to cause these findings?

Correct Answer: A

Rationale: #NAME?

Question 2 of 5

The female client who is very anxious and fidgety is blowing off to much carbon dioxide develops tingling sensation of the lips and fingers and is not able to control her respirations. The MOST appropriate nursing intervention for this client is to _____.

Correct Answer: C

Rationale: The client is experiencing symptoms of hyperventilation, a condition that occurs when there is excessive elimination of carbon dioxide from the body. Breathing into a paper bag can help by allowing the client to rebreathe carbon dioxide, which can help restore the balance of gases in the blood and alleviate the tingling sensations in the lips and fingers. This technique is commonly used to help regulate breathing in cases of hyperventilation. Administering oxygen (choice B) may not be necessary as the issue lies with an imbalance of carbon dioxide, not a lack of oxygen. Instructing the client to blow her nose and take deep breaths (choice A) may not address the underlying problem effectively. Administering IV fluids (choice D) is not relevant to the client's symptoms of hyperventilation.

Question 3 of 5

What is one of the MAJOR challenges that a beginning nurse may encounter in her service delivery in the hospital in terms of an individual client or patient?

Correct Answer: C

Rationale: In Nadine's case, one major challenge that a beginning nurse may encounter in her service delivery is related to social determinants of health. Social determinants of health refer to the social and economic conditions that influence individual and group differences in health status. In this scenario, Nadine's bruises, bed-wetting, signs of anxiety, and potentially other health issues are likely influenced by factors such as her living environment, family dynamics, and social support systems. As a nurse, addressing social determinants of health requires a holistic approach that considers not only the physical symptoms but also the underlying social, economic, and environmental factors affecting the patient's health and well-being. This can be a complex challenge for beginning nurses who may not have as much experience or training in navigating these social determinants of health to provide comprehensive care to their patients.

Question 4 of 5

Who among the passengers will take PRIORITY for the rescue team to transport to the hospital?

Correct Answer: C

Rationale: In emergency situations, pregnant women are typically given priority when it comes to transportation to the hospital. This is because they have unique medical needs and potential complications that require immediate attention. It is important to ensure the well-being of both the mother and the unborn child. Additionally, the health and safety of the unborn child are critical considerations in determining priority for medical treatment and transport. Therefore, the pregnant woman should be the priority for the rescue team to transport to the hospital.

Question 5 of 5

A woman in active labor experiences a prolonged latent phase, characterized by irregular contractions and minimal cervical dilation. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?

Correct Answer: A

Rationale: Maternal dehydration can lead to a prolonged latent phase in labor due to inadequate hydration affecting the progress of labor. Dehydration can cause decreased blood volume, leading to poor uterine perfusion and inefficient uterine contractions. It also contributes to reduced amniotic fluid volume and can lead to maternal exhaustion. Therefore, assessment and correction of maternal hydration status are crucial in improving labor patterns and preventing complications during labor and delivery.

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