ATI RN
Dewits Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 5
A urine dipstick test reveals a trace amount of protein. The nurse identifies which nursing diagnosis as appropriate for the client at this time?
Correct Answer: A
Rationale: A trace amount of protein in the urine dipstick test can indicate proteinuria, which can be a sign of kidney dysfunction. The presence of protein in the urine may lead to fluid retention and potential imbalances in fluid volume. Therefore, the appropriate nursing diagnosis in this situation would be "Risk for Imbalanced Fluid Volume," as monitoring and management of fluid balance would be crucial for the client's overall health and prevention of further complications related to kidney function.
Question 2 of 5
The nurse is caring for a client who has been admitted to labor and delivery. What should the nurse recognize as risk factors for disseminating intravascular coagulation (DIC)? Select all that apply.
Correct Answer: B
Rationale: Disseminated intravascular coagulation (DIC) is a serious condition characterized by widespread activation of the clotting cascade and consumption of clotting factors, leading to both thrombosis and bleeding. Risk factors for DIC include conditions that cause significant tissue injury, which can trigger the coagulation pathway.
Question 3 of 5
During a health history interview, a patient reports having to get up to void several times during the night and there is burning when passing urine. Which terms should the nurse use when documenting this patient’s manifestations? Select all that apply.
Correct Answer: B
Rationale: - Dysuria: Dysuria refers to pain or discomfort experienced during urination, which includes the sensation of burning the patient reported.
Question 4 of 5
Which is true about the physiology of neuroendocrine compensatory mechanism?
Correct Answer: B
Rationale: The correct answer is B because the statement accurately reflects the physiology of the neuroendocrine compensatory mechanism. When there is a decrease in cardiac output, the body activates the sympathetic nervous system and releases catecholamines such as epinephrine and norepinephrine. These catecholamines help increase heart rate, contractility, and vasoconstriction to maintain blood pressure and perfusion to vital organs. This compensatory mechanism aims to overcome the decreased cardiac output and maintain adequate tissue perfusion in response to stress or reduced blood flow.
Question 5 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.