ATI RN
Nursing a Concept Based Approach to Learning Test Bank Free Questions
Question 1 of 5
A perimenopausal patient is experiencing frequency, urgency, nocturia, dysuria, and cloudy, rust- colored urine for the third time in the past 2 years. What should the nurse include when teaching this patient? Select all that apply.
Correct Answer: B
Rationale: In this scenario, the correct option is B) Recommendations for perineal cleansing. Perimenopausal women are at an increased risk for urinary tract infections (UTIs) due to hormonal changes affecting the genitourinary tract. Teaching the patient about proper perineal hygiene, including front-to-back wiping after using the restroom, can help prevent the introduction of bacteria into the urinary tract, reducing the risk of UTIs. Option A) Pre-procedure instruction for an IVP is incorrect as it is not relevant to the patient's current symptoms of a possible UTI. Option C) Recommendations for screening cystoscopy is unnecessary at this point as the patient's symptoms are indicative of a UTI rather than a need for further invasive diagnostic procedures. Option D) Potential benefits of estrogen vaginal cream is not appropriate as the patient's symptoms are more indicative of a UTI rather than a hormonal issue. Option E) Return to the office in 10 days for a follow-up culture is premature without addressing the immediate need for perineal hygiene education to prevent recurrent UTIs. Educationally, this rationale highlights the importance of teaching patients about preventive measures to reduce the risk of UTIs, especially in perimenopausal women who may be more susceptible to these infections due to hormonal changes. It emphasizes the role of patient education in promoting self-care and preventing recurrent UTIs.
Question 2 of 5
The nurse is preparing teaching for a patient with mild osteoarthritis of the knees. Which medication treatments should the nurse include in these instructions? Select all that apply.
Correct Answer: B
Rationale: In educating a patient with mild osteoarthritis of the knees, it is essential to provide accurate information regarding appropriate medication treatments. Selecting NSAIDs (Option B) as the correct answer is crucial due to their effectiveness in managing pain and inflammation associated with osteoarthritis. NSAIDs are commonly used as first-line pharmacological treatment for osteoarthritis due to their analgesic and anti-inflammatory properties. Opioids (Option A) are generally not recommended for mild osteoarthritis due to their potential for addiction and adverse effects. Hormones (Option C) and antibiotics (Option D) are not standard treatments for osteoarthritis and would not be appropriate in this case. Hyaluronic acid (Option E) is sometimes used for knee osteoarthritis, but evidence supporting its efficacy is mixed, and it is not as commonly recommended as NSAIDs. From an educational perspective, it is important for nurses to understand the rationale behind medication choices for specific conditions to provide accurate and evidence-based information to patients. By explaining the benefits and risks of different medication options, nurses can empower patients to make informed decisions about their healthcare and improve their overall management of osteoarthritis.
Question 3 of 5
What is a good way for a nurse to prepare the environment for teaching?
Correct Answer: C
Rationale: Evaluating client abilities to perform skills with return demonstrations is a good way for a nurse to prepare the environment for teaching. By observing the clients' abilities to perform the necessary skills, the nurse can tailor the teaching to meet the specific needs of each individual. Return demonstrations allow for immediate feedback and correction if needed, ensuring that the clients understand and can perform the skills accurately. This interactive approach to teaching promotes active learning and enhances retention of information.
Question 4 of 5
A client diagnosed with cardiomyopathy reports having to rest between activities during the day. The client asks the nurse why this is occurring. Which reason should the nurse include in the response to the client?
Correct Answer: B
Rationale: The client with cardiomyopathy may experience decreased cardiac output, which is a common manifestation of this condition. Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of the body. Reduced cardiac output means that less blood is being pumped out by the heart with each beat, leading to symptoms such as fatigue, weakness, and the need to rest between activities. This is why the client is experiencing the need to rest between activities during the day.
Question 5 of 5
The nurse is caring for a child who has just been diagnosed with an atrial septal defect (ASD). Which manifestations would the nurse expect upon assessment? Select all that apply.
Correct Answer: B
Rationale: In caring for a child diagnosed with an atrial septal defect (ASD), understanding the expected manifestations is crucial for effective nursing care. The correct answer is B) Midsystolic murmur at lower right sternal border. This is because an ASD typically presents with a midsystolic murmur due to increased blood flow across the defect during systole, which can be auscultated at the lower right sternal border. Option A) Pulmonary artery hypotension is incorrect because ASD can lead to increased pulmonary blood flow and, subsequently, pulmonary artery hypertension rather than hypotension. Option C) Mitral valve regurgitation with cleft on mitral valve is incorrect as ASD does not directly cause mitral valve abnormalities. Option D) S1 heart tone may be split due to forceful left ventricular contraction is incorrect as S1 splitting is not a common finding in ASD. Educationally, understanding the specific clinical manifestations associated with ASD helps nurses in early identification, appropriate management, and effective communication with healthcare providers. This knowledge enhances the quality of care provided to pediatric patients with congenital heart defects.