ATI RN
Giddens Concepts for Nursing Practice Test Bank Questions
Question 1 of 5
The nurse is assessing the endocrine system of an older female patient. Which finding is considered an expected age-related change in this system?
Correct Answer: B
Rationale: As individuals age, particularly older women, there tends to be a decrease in facial hair growth. This change is considered a normal part of the aging process and an expected age-related change in the endocrine system. The other options presented, including normal heart tones, thyroid nodules, and an enlarged and firm pituitary gland, are not typically associated with normal aging of the endocrine system.
Question 2 of 5
A client with preeclampsia begins to demonstrate manifestations of seizure activity. Which intervention by the nurse is most likely to protect the client and fetus from injury?
Correct Answer: B
Rationale: Placing the client on the left side and protecting the airway is the most appropriate intervention to protect the client and the fetus from injury during a seizure. This position helps to prevent aspiration of vomitus and maintains an open airway. Placing the client on the left side also enhances maternal and fetal perfusion by reducing pressure on the vena cava, improving blood flow to the placenta, and decreasing the risk of supine hypotensive syndrome. Elevating the client's legs (Option A) and placing the client in the supine position (Option C) are contraindicated as they may worsen the client's condition in the context of preeclampsia and seizure activity. Elevating the head of the bed (Option D) does not address the immediate need to protect the airway and maintain proper positioning during a seizure.
Question 3 of 5
Following surgery, a patient has not voided for 12 hours. What assessment should the nurse make?
Correct Answer: C
Rationale: Following surgery, a patient not voiding for 12 hours raises concerns for urinary retention, especially if the patient was catheterized during the surgical procedure. With urinary retention, the bladder can become distended and palpating for bladder distention can help determine if the patient is experiencing this issue. If the bladder is distended, interventions may be needed to address the urinary retention to prevent complications such as urinary tract infection or bladder distention-related discomfort. The other assessment options (percuting for gastric tympany, auscultating for bowel sounds, inspecting for edema of the urethra) are not as relevant in assessing a patient's urinary status post-surgery.
Question 4 of 5
The nurse is assessing the endocrine system of an older female patient. Which finding is considered an expected age-related change in this system?
Correct Answer: B
Rationale: As individuals age, particularly older women, there tends to be a decrease in facial hair growth. This change is considered a normal part of the aging process and an expected age-related change in the endocrine system. The other options presented, including normal heart tones, thyroid nodules, and an enlarged and firm pituitary gland, are not typically associated with normal aging of the endocrine system.
Question 5 of 5
A community health nurse is providing education to a group of adults regarding myocardial infarction (MI). When discussing ways to prevent the number of MI-related deaths, which statement by the nurse is inappropriate?
Correct Answer: B
Rationale: While taking a baby aspirin daily can be beneficial for some individuals at increased risk of heart attacks or strokes, it is not a general recommendation for everyone to prevent myocardial infarction (MI). There are potential risks associated with aspirin use, such as gastrointestinal bleeding, which could outweigh the benefits for individuals at low risk of a heart attack. It is important for individuals to consult with their healthcare provider before starting any regimen of daily aspirin therapy. The other statements (A, C, D) focus on increasing awareness, knowledge, and prompt action in response to a suspected MI, which are appropriate measures for prevention and improving outcomes.
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