ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
Developing a teaching plan is comparable to what other nursing activity?
Correct Answer: B
Rationale: Developing a teaching plan is comparable to formulating a nursing care plan because both involve assessing the patient's needs, setting goals, planning interventions, and evaluating outcomes. Teaching plans focus on educating patients, while nursing care plans address the overall care and management of the patient. Documenting in the nurse's notes (A) is important but does not involve the same level of planning and detail as developing a teaching plan. Performing a complex technical skill (C) requires specific hands-on abilities rather than planning and organizing information. Using a standardized form or format (D) may provide structure but does not encompass the individualized approach necessary for developing a teaching plan.
Question 2 of 5
What type of grief is a client experiencing when a wife is still grieving her deceased husband of five years ago?
Correct Answer: A
Rationale: The correct answer is A: Chronic grief. Chronic grief occurs when an individual experiences long-lasting and unresolved grief over an extended period of time. In this scenario, the wife is still grieving her deceased husband after five years, indicating a prolonged and ongoing grief process. Delayed grief (B) refers to a postponed emotional response, which is not the case here as the grief has been ongoing. Masked grief (C) involves displaying symptoms of grief in other ways, without acknowledging the underlying loss, which is not evident in this situation. Uncomplicated grief (D) refers to a typical, expected response to loss without any complicating factors, which may not be the case for the wife still grieving after five years.
Question 3 of 5
The nurse understands that medication absorption is affected by the administration route. Which route for medications has the fastest absorption rate?
Correct Answer: B
Rationale: The correct answer is B: Intravenous (IV) injection. IV injection delivers medications directly into the bloodstream, bypassing the digestive system for immediate absorption. This route ensures the fastest onset of action as the medication is rapidly distributed throughout the body. Cream applied to the skin (A) undergoes slower absorption through the skin layers. Enteric-coated capsules (C) are designed to dissolve in the intestines, delaying absorption. Subcutaneous injection (D) involves slower absorption compared to IV due to the medication being injected into the fatty tissue under the skin.
Question 4 of 5
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push to a client in CHF is an action that falls under the Implementation phase of the nursing process, where the nurse carries out the planned interventions to help achieve the client's goals. Assessment (A) is the data collection phase, Planning (B) involves setting goals and determining interventions, and Evaluation (D) is the phase where the nurse assesses the effectiveness of the interventions. In this case, actually administering the medication is executing the planned intervention, thus categorizing it under Implementation.
Question 5 of 5
Which flow sheet provides the health care provider with information on an ongoing record of fluid loss?
Correct Answer: D
Rationale: The correct answer is D, the Intake & Output (I&O) graphic sheet, as it provides a comprehensive record of fluid loss by documenting all fluids taken in and excreted by the patient. This is crucial for monitoring hydration status and detecting any imbalances. The Critical care flow sheet (A) focuses on critical care parameters, the Vital signs graphic sheet (B) records vital signs, and the Health assessment flow sheet (C) documents patient assessments. These choices do not specifically track fluid loss like the I&O graphic sheet does.