ATI RN
Concept Based Nursing Practice Questions Questions
Question 1 of 5
During a blood pressure screening, an older adult client tells the nurse about chest fluttering while doing yard work. The client reports no other symptoms and the frequency is intermittent. Which action is correct by the nurse?
Correct Answer: C
Rationale: The correct action for the nurse in this situation would be to ensure the client is evaluated by his/her medical provider. Chest fluttering, also known as palpitations, can sometimes be related to cardiac arrhythmias, which can be a concern in older adults. Even though the client reports no other symptoms and the frequency is intermittent, it is essential for the medical provider to assess and determine the cause of the fluttering to rule out any serious underlying cardiac issues. Taking appropriate action promptly can help prevent any potential complications and ensure the client's well-being.
Question 2 of 5
Which assessment findings support the nurse's concern that a client is experiencing hypovolemic shock? Select all that apply.
Correct Answer: A
Rationale: In the context of pharmacology and nursing practice, understanding the assessment findings indicative of hypovolemic shock is crucial for providing timely and appropriate interventions. A) The slight increase in pulse is a key indicator of hypovolemic shock as the body attempts to compensate for decreased blood volume by increasing heart rate to maintain cardiac output. This compensatory mechanism helps to circulate the limited volume of blood more efficiently. B) Dry, warm skin is not typically seen in hypovolemic shock. In this condition, vasoconstriction occurs to maintain blood pressure, leading to cool, clammy skin due to decreased perfusion. C) Increased urine output is not a typical finding in hypovolemic shock. In response to decreased blood volume, the body conserves fluid by reducing urine output to maintain fluid balance. D) Normal respirations are not specific to hypovolemic shock. Respiratory rate may increase as a compensatory mechanism to improve oxygen delivery in response to shock. Educationally, understanding the nuances of assessment findings in hypovolemic shock is vital for nurses to recognize early signs, initiate appropriate interventions, and prevent further deterioration in the client's condition. This knowledge enhances patient safety and outcomes in clinical practice.
Question 3 of 5
The community nurse is teaching a class at the community center regarding the cultural and ethnic risk factors for stroke. Which statement should nurse include in this presentation?
Correct Answer: B
Rationale: The correct statement that should be included in the presentation is that African Americans have almost twice the number of first-ever strokes compared with Whites. This is based on research and statistics that show African Americans have a higher incidence of stroke compared to other ethnic groups in the United States. It is important for healthcare providers to be aware of these disparities in order to address them effectively through targeted prevention and management strategies. Moreover, raising awareness about these risk factors can help promote early intervention and reduce the burden of stroke within the African American community.
Question 4 of 5
A patient has heard of several friends being diagnosed with colon cancer and does not want to develop the same health problem. What should the nurse recommend to this patient? Select all that apply.
Correct Answer: A
Rationale: In this scenario, the correct recommendations for the patient concerned about colon cancer are to obtain regular exercise, maintain a healthy weight, obtain recommended screening after age 50, and consume a diet high in fruits and vegetables while low in saturated fat and red meat. Regular exercise and maintaining a healthy weight are essential as they can help reduce the risk of developing colon cancer by promoting overall health and reducing inflammation. Recommended screenings after the age of 50, such as colonoscopies, can aid in early detection and treatment of any potential issues. A diet rich in fruits and vegetables while low in saturated fats and red meats can provide essential nutrients and antioxidants while minimizing potential carcinogenic substances. In contrast, ingesting two servings of red wine every day is not a recommended preventive measure for colon cancer. While moderate red wine consumption may have some health benefits, excessive alcohol intake is actually associated with an increased risk of developing certain types of cancer, including colon cancer. Educationally, it is crucial for nurses to provide evidence-based recommendations to patients to promote health and prevent diseases. Understanding the rationale behind each recommendation enables nurses to effectively educate patients on making informed choices for their well-being. This case highlights the importance of lifestyle modifications and screenings in cancer prevention.
Question 5 of 5
The nurse is teaching a group of community members about measures to reduce the risk of bladder cancer. What should the nurse include when providing these instructions? Select all that apply.
Correct Answer: A
Rationale: Rationale: The correct answer is A) Empty the bladder every 2 hours. This is because holding urine in the bladder for prolonged periods can potentially expose the bladder lining to carcinogens for extended periods, increasing the risk of bladder cancer. Educating individuals to empty their bladders frequently helps reduce this exposure and maintain bladder health. Option B) Do not start smoking; if you smoke, stop is also crucial in reducing the risk of bladder cancer. Smoking is a well-established risk factor for bladder cancer due to the carcinogens present in tobacco smoke. Option C) Increase the intake of fluids and vegetables is also a good practice for overall health but is not directly linked to reducing the risk of bladder cancer. Option D) Avoid using hair dyes and pesticides in the home and E) Limit the intake of coffee and other caffeinated beverages are not directly associated with reducing the risk of bladder cancer. While reducing exposure to certain chemicals is advisable for general health, they are not primary preventive measures specifically targeting bladder cancer risk reduction. In an educational context, it is essential to emphasize evidence-based strategies for reducing the risk of specific health conditions like bladder cancer. Providing accurate information empowers individuals to make informed choices to promote their health and well-being. It is crucial for nurses to convey this information clearly to community members to enable them to take proactive steps in reducing their risk of developing bladder cancer.