ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
The ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which of the following areas is unnecessary to emphasize when providing client education for blood pressure control?
Correct Answer: A
Rationale: The correct answer is A: Instruct the client to limit protein intake. Limiting protein intake is unnecessary for blood pressure control. Here's the rationale: 1. Sodium intake: Excessive salt intake can lead to high blood pressure, so teaching the client to avoid adding salt to foods is important. 2. Weight management: Excess weight can contribute to high blood pressure, so discussing weight reduction or maintenance is crucial. 3. Exercise: Regular physical activity can help lower blood pressure, making it important to stress the importance of an exercise program. 4. Protein intake: While a balanced diet is important for overall health, limiting protein intake specifically is not typically a key factor in blood pressure control.
Question 2 of 5
A young adult patient tells the health care provider about experiencing cold, numb fingers and Raynaud’s phenomenon is suspected. What type of testing should the nurse anticipate explaining to the patient?
Correct Answer: C
Rationale: The correct answer is C: Autoimmune disorders. Raynaud's phenomenon is characterized by cold, numb fingers due to vasoconstriction of blood vessels in response to cold or stress. It is often associated with autoimmune disorders like lupus or scleroderma. Testing for autoimmune disorders may include antinuclear antibody (ANA) testing, rheumatoid factor (RF) testing, and specific autoantibody testing. Explanation for why the other choices are incorrect: A: Hyperglycemia is high blood sugar levels, which is not directly related to Raynaud's phenomenon. B: Hyperlipidemia is high levels of fats in the blood, which is not directly related to Raynaud's phenomenon. D: Coronary artery disease is a condition of the heart's blood vessels, and it is not directly related to Raynaud's phenomenon.
Question 3 of 5
Diltiazem (Cardizem) is prescribed for a patient with newly diagnosed Prinzmetal's (variant) angina. Which action of diltiazem is accurate for the nurse to include in the teaching plan?
Correct Answer: C
Rationale: Step 1: Diltiazem is a calcium channel blocker. Step 2: Calcium channel blockers like diltiazem work by relaxing and dilating coronary arteries. Step 3: Coronary artery spasms are a characteristic feature of Prinzmetal's angina. Step 4: Therefore, the accurate action of diltiazem is to decrease coronary artery spasms. Summary: Choice A is incorrect because diltiazem does not directly reduce heart palpitations. Choice B is incorrect because diltiazem does not prevent coronary artery plaque. Choice D is incorrect because diltiazem does not increase the contractile force of the heart.
Question 4 of 5
A 62-yr-old patient who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that:
Correct Answer: C
Rationale: Rationale for Correct Answer (C): 1. The sudden increase in blood pressure to 198/110 mm Hg indicates a hypertensive crisis. 2. Given the absence of a history of hypertension, further evaluation is needed to determine the cause. 3. Diagnosis, treatment, and monitoring are essential to prevent complications and manage the condition effectively. Summary of Incorrect Choices: A: Waiting a few weeks for a BP recheck is not appropriate as the high BP requires immediate attention. B: While dietary changes can help manage hypertension, addressing the underlying cause is crucial in this acute scenario. D: Hospitalization may be necessary if complications arise, but this choice jumps to conclusions without proper assessment and management.
Question 5 of 5
A nurse is caring for a client who is experiencing moderate metabolic alkalosis. What action would the nurse take?
Correct Answer: D
Rationale: The correct answer is D because in metabolic alkalosis, the blood pH is elevated due to excess bicarbonate levels. Teaching the client fall prevention measures is important as alkalosis can cause muscle weakness and confusion, increasing the risk of falls. Monitoring hemoglobin and hematocrit (Choice A) is not relevant to metabolic alkalosis. Administering furosemide (Choice B) may worsen alkalosis by decreasing fluid volume. Encouraging deep breaths (Choice C) is not indicated as it can further decrease carbon dioxide levels, exacerbating alkalosis.