Questions 9

ATI RN

ATI RN Test Bank

Foundations and Adult Health Nursing Study Guide Answers Questions

Question 1 of 5

Mrs. Carpio has an order of Thiazide diuretics for her edema. The following is the entry that you expect to be written in her progress report EXCEPT ______.

Correct Answer: D

Rationale: The entry you expect to be written in Mrs. Carpio's progress report should include details related to monitoring her response to the Thiazide diuretics and ensuring her safety. Options A, B, and C all focus on these aspects by monitoring serum electrolytes, intake and output, and weight before drug administration, which are important considerations when a patient is on Thiazide diuretics. However, specifying the time of drug administration (8 o'clock in the evening) is not necessary in the progress report entry. The focus should be on the patient's response to the medication and the associated monitoring parameters. Time of administration is more relevant for nursing care plans or medication schedules.

Question 2 of 5

A patient with chronic kidney disease presents with periorbital edema, hypertension, and proteinuria. Laboratory findings reveal elevated serum creatinine and urea levels, hyperkalemia, and metabolic acidosis. What is the most likely diagnosis?

Correct Answer: D

Rationale: The constellation of symptoms presented (periorbital edema, hypertension, proteinuria) along with the laboratory findings (elevated creatinine and urea levels, hyperkalemia, metabolic acidosis) are classical signs of chronic kidney disease (CKD). In CKD, the kidneys gradually lose their function over time, leading to impaired filtration of waste products and electrolyte imbalance. The presence of hypertension and proteinuria are common in CKD due to the compromised renal function. Additionally, elevated serum creatinine and urea levels, hyperkalemia, and metabolic acidosis are indicative of kidney dysfunction.

Question 3 of 5

In assessing the health condition of school children which of the following would be the finding common to this age group?

Correct Answer: B

Rationale: In assessing the health condition of school children, anemia and other blood disorders are more commonly observed in this age group compared to cancer, lice, parasites, fractures, and injuries. Anemia is a common health issue among children due to various factors such as poor nutrition, iron deficiency, and infections. Regular screening for anemia is important in school-age children to prevent long-term complications and to promote their overall health and well-being. While cancer, lice, parasites, fractures, and injuries can also occur in school children, anemia and blood disorders are more prevalent in this age group.

Question 4 of 5

Ms. Cruz is the supervisor of a hospital on night shift. Several nurses did not report due to Jeepney strike. When the supervisor is executing proper allocation of nurses to the PRIORITY wards to address this concern, she is observing what type of principle?

Correct Answer: C

Rationale: In this situation, the principle of justice is being observed by the supervisor, Ms. Cruz. Justice in healthcare ethics involves fairness and equality in the distribution of resources, including the allocation of staff to provide care. By prioritizing the allocation of nurses to the PRIORITY wards to ensure that essential care is delivered despite the shortage caused by the Jeepney strike, Ms. Cruz is upholding the principle of justice by ensuring that each patient receives equal and fair access to healthcare services. This decision aligns with the ethical responsibility to provide care in a just and fair manner.

Question 5 of 5

What nursing diagnosis would be MOST appropriate for a client admitted with heart failure?

Correct Answer: B

Rationale: Heart failure is a condition in which the heart is unable to pump enough blood to meet the body's need for oxygen and nutrients. Ineffective tissue perfusion is a relevant nursing diagnosis for a client with heart failure because the heart's inability to effectively pump blood can lead to poor perfusion of tissues and organs, resulting in inadequate oxygen and nutrient delivery to cells. This can lead to symptoms such as fatigue, dyspnea, and edema, which are common in individuals with heart failure. By addressing ineffective tissue perfusion, nurses can focus on interventions to improve cardiac output and optimize tissue perfusion, ultimately improving the client's overall condition.

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