ATI RN
Concepts and Cases in Nursing Ethics Test Bank Questions
Question 1 of 5
An adult client is experiencing paroxysmal supraventricular tachycardia. Which nursing interventions are appropriate based on the data provided? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client who is taking beta-adrenergic blockers for angina is experiencing hypovolemic shock. Which does the nurse anticipate being the priority collaborative intervention for this client?
Correct Answer: C
Rationale: In a client experiencing hypovolemic shock, the priority collaborative intervention is to provide replacement of volume to improve tissue perfusion and restore organ function. Hypovolemic shock is characterized by a significant loss of intravascular volume, leading to inadequate tissue perfusion and oxygenation. Beta-adrenergic blockers can exacerbate hypovolemic shock by further decreasing cardiac output and blood pressure. Therefore, the immediate priority is to address the hypovolemia by providing volume replacement through fluid resuscitation to stabilize the patient before assessing the cause of bleeding or establishing invasive cardiac monitoring. Administering analgesics for pain control is important but not the priority in this situation.
Question 3 of 5
After a stroke, sensory-perceptual changes increase the client's risk for what?
Correct Answer: B
Rationale: After a stroke, sensory-perceptual changes such as impaired proprioception, altered sensation, and decreased awareness of the affected side can increase the client's risk for injury. These changes can result in difficulties with balance, coordination, and spatial awareness, making the individual more prone to falls and accidents. It is important to implement safety measures and interventions to minimize the risk of injury in these clients, such as providing a structured environment, using assistive devices, and encouraging regular monitoring and assistance as needed.
Question 4 of 5
A patient has developed a paralytic ileus following recent abdominal surgery. What is the most important nursing action when caring for this patient?
Correct Answer: C
Rationale: Ensuring that the nasogastric tube is functioning is the most important nursing action when caring for a patient with a paralytic ileus. A paralytic ileus is a condition where there is a temporary paralysis of the intestine, leading to a lack of bowel motility. This can result in a buildup of gas and fluids in the intestines, causing abdominal distension, pain, and potential complications.
Question 5 of 5
The nurse evaluates teaching provided to a patient with a newly created ileal diversion with a continent reservoir. Which patient behavior indicates teaching has been effective?
Correct Answer: A
Rationale: In a patient with a newly created ileal diversion with a continent reservoir, demonstrating care for the collection device signifies that the patient has understood the importance of maintaining hygiene and proper management of the device. This behavior indicates that the teaching provided by the nurse has been effective in helping the patient take care of the diversion and prevent complications such as infection or skin irritation. Understanding how to care for the collection device is crucial for the patient's overall well-being and quality of life with the continent reservoir.