ATI RN
Fundamental Concepts and Skills for Nursing Test Questions Questions
Question 1 of 9
The nurse is caring for a breastfeeding client recovering from a cesarean section. The physician diagnoses her with superficial venous thrombosis. Which intervention should the nurse anticipate carrying out first?
Correct Answer: C
Rationale: Superficial venous thrombosis is a condition characterized by the formation of a blood clot in a superficial vein. The initial intervention for this condition is to apply warm, moist compresses to the affected area. The warmth can help to increase blood flow and promote the resolution of the clot. It also helps to reduce pain and inflammation in the area. Encouraging ambulation, taking aspirin, or administering methylergonovine are not appropriate interventions for superficial venous thrombosis and could potentially worsen the condition or lead to complications.
Question 2 of 9
The nurse is caring for a breastfeeding client recovering from a cesarean section. The physician diagnoses her with superficial venous thrombosis. Which intervention should the nurse anticipate carrying out first?
Correct Answer: C
Rationale: Superficial venous thrombosis is a condition characterized by the formation of a blood clot in a superficial vein. The initial intervention for this condition is to apply warm, moist compresses to the affected area. The warmth can help to increase blood flow and promote the resolution of the clot. It also helps to reduce pain and inflammation in the area. Encouraging ambulation, taking aspirin, or administering methylergonovine are not appropriate interventions for superficial venous thrombosis and could potentially worsen the condition or lead to complications.
Question 3 of 9
A nurse is preparing to discharge a client who experienced a myocardial infarction. The client will have to make many lifestyle changes, and the nurse is providing instruction on how to implement a heart-healthy lifestyle. Which is the best description of the client education the nurse is presenting to this client?
Correct Answer: B
Rationale: The best description of the client education the nurse is presenting in this scenario is an important independent nursing function. Nurses are responsible for educating clients on how to make lifestyle changes to promote heart health, such as following a heart-healthy diet, engaging in regular exercise, and managing stress. This education is a crucial aspect of nursing care and falls under the independent function of nurses, as it does not require a healthcare provider's order to implement. Nurses play a key role in empowering clients to take control of their health and well-being through education and support.
Question 4 of 9
The nurse is caring for a client with hypertension. Which diagnostic tests should the nurse anticipate being ordered to rule out secondary causes? Select all that apply.
Correct Answer: A
Rationale: A. Cerebral angiogram: This diagnostic test may be ordered to assess the blood vessels in the brain and rule out potential causes of hypertension related to the central nervous system.
Question 5 of 9
The nurse is assessing the musculoskeletal status of a 70-year-old patient. What findings should the nurse consider as expected age-related changes in this body system? Select all that apply.
Correct Answer: A
Rationale: A. Decreased muscle mass: As individuals age, there is a natural decline in muscle mass known as sarcopenia. This can lead to overall decreased muscle strength and functional ability.
Question 6 of 9
A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?
Correct Answer: B
Rationale: By obtaining information on the relationship of episodes to particular foods, the nurse can assess for potential food allergies or intolerances that may be causing the patient's symptoms. Certain foods high in fat or certain food intolerances can lead to large, fatty, foul-smelling stools. Identifying any offending foods can help the patient make dietary changes to improve their symptoms. Additionally, other conditions such as malabsorption syndromes or pancreatic insufficiency could be contributing to the patient's symptoms, making it important to explore the relationship with certain foods.
Question 7 of 9
A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. The patient is nauseated, vomits clear fluid, and voids pink urine. What should the nurse do first?
Correct Answer: B
Rationale: The patient's symptoms are indicative of kidney stones causing obstruction and possibly renal colic. The sudden onset of severe crampy pain on the left side radiating into the groin, along with nausea, vomiting clear fluid, and passing pink urine (hematuria) are classic signs of kidney stones. Given the severity of the symptoms and the potential for complications, it is crucial to notify the physician immediately for further evaluation and management. Straining all urine, administering analgesics, and obtaining a bladder scan may be necessary interventions but should be done after informing the physician and following their recommendations.
Question 8 of 9
A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Ineffective Peripheral Tissue Perfusion. Which actions interventions are appropriate for this diagnosis? Select all that apply.
Correct Answer: B
Rationale: - Elevating the client's knees on the bed or with a pillow can help improve venous return and promote circulation, ultimately enhancing peripheral tissue perfusion in a client with DIC.
Question 9 of 9
The nurse is caring for an infant diagnosed with hypoplastic left heart syndrome. The client has recently been scheduled for surgery to repair the defect. Which procedure does the nurse anticipate needing to provide client teaching about to the client's family?
Correct Answer: A
Rationale: The Norwood procedure is a surgical technique used to treat hypoplastic left heart syndrome, a congenital heart defect where the left side of the heart is underdeveloped. In this procedure, the surgeon creates a new functional aorta and reconstructs the right ventricle to take over pumping blood to both the lungs and the body. This procedure is typically performed in 3 stages, with the first stage usually done in the first week of life. Providing client teaching about the Norwood procedure is important for the family to understand the surgery, postoperative care, and potential complications. It helps prepare them for what to expect and how to best support their infant through the surgical and recovery process.