ATI RN
Dewits Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 5
A patient recovering from a partial nephrectomy is in the post-anesthesia care unit. Which interventions would be a priority for the patient? Select all that apply.
Correct Answer: B
Rationale: - Labeling and securing all catheters, tubes, and drains (Choice B) is a priority intervention as it ensures proper monitoring and identification of the postoperative devices. By keeping these items labeled and secure, healthcare providers can prevent accidental dislodgement or confusion, leading to improved patient safety and management.
Question 2 of 5
The nurse is caring for a client who is scheduled to receive metoprolol (Lopressor). What should the nurse teach the client about this medication?
Correct Answer: B
Rationale: Metoprolol (Lopressor) is a beta-blocker medication used to treat high blood pressure, angina, and heart failure. One common side effect of beta-blockers is orthostatic hypotension, which can cause a drop in blood pressure when changing positions from lying down to sitting or standing. To prevent dizziness or fainting due to this side effect, clients taking metoprolol should be advised to change positions slowly to allow their body to adjust and minimize the risk of falls or injury.
Question 3 of 5
The nursing student is planning an educational program for a school project. The program is focusing on cancer detection education for a community group. What should the nursing student plan to include in order to address the various learning styles of the target group?
Correct Answer: D
Rationale: Option D, which includes audiovisuals, examples, group discussions, and activities, is the most comprehensive approach to address the various learning styles of the target group. This holistic approach caters to visual learners through audiovisual materials, auditory learners through group discussions, and kinesthetic learners through activities. By incorporating a variety of teaching methods, the nursing student can accommodate different learning preferences within the community group, ultimately enhancing the educational program's effectiveness and engagement.
Question 4 of 5
The nurse is analyzing data collected after assessing a child with a congenital heart defect that decreases pulmonary blood flow. Which nursing diagnosis would be applicable for this client?
Correct Answer: C
Rationale: A congenital heart defect that decreases pulmonary blood flow can lead to reduced cardiac output. Cardiac output is the amount of blood pumped by the heart per minute, and a decrease in pulmonary blood flow can affect the heart's ability to effectively pump blood to the body. Therefore, the appropriate nursing diagnosis for this client would be Decreased Cardiac Output. This diagnosis reflects the underlying physiological issue caused by the congenital heart defect and guides the nurse in planning appropriate interventions to support and optimize the child's cardiac function.
Question 5 of 5
The nurse is planning care for a client with a pulmonary embolism. Which nursing action would assist with the client's decrease in cardiac output?
Correct Answer: A
Rationale: Providing oxygen will help increase the oxygen supply to the tissues, thus supporting the heart in maintaining cardiac output. A decrease in cardiac output is a concern with pulmonary embolism as it can lead to inadequate tissue perfusion and possible complications. Oxygen therapy can improve oxygenation and support the heart in meeting the body's demands, helping to stabilize cardiac output. Monitoring and assessing pulmonary arterial pressures would be important in managing a pulmonary embolism but would not directly assist in increasing cardiac output. Keeping protamine sulfate at the bedside is more relevant for managing heparin overdose, not specifically for addressing a decrease in cardiac output. Assessing for bleeding is important in monitoring for potential complications of anticoagulant therapy but does not directly address the decrease in cardiac output seen in pulmonary embolism.