ATI RN
Fundamental Concepts and Skills for Nursing Test Questions Questions
Question 1 of 9
The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 9
A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?
Correct Answer: B
Rationale: Keeping the extremities warm (Choice B) is the appropriate nursing intervention for a client with peripheral vascular disease (PVD) experiencing pain. Maintaining warmth helps promote vasodilation and improve blood flow to the affected areas, reducing pain and discomfort. Cold temperatures can exacerbate vasoconstriction and worsen symptoms in individuals with PVD. Elevating the legs in bed (Choice A) may be beneficial in some cases to improve circulation, but in the context of pain management for PVD, keeping the extremities warm is more pertinent. Encouraging ambulation (Choice C) can also help improve circulation, but it may not be suitable during episodes of pain. Applying cool compresses (Choice D) is contraindicated for PVD-related pain as it can further exacerbate vasoconstriction and discomfort.
Question 3 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 4 of 9
A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?
Correct Answer: D
Rationale: Early preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, commonly the liver and kidneys. Severe epigastric pain is a common symptom of this organ involvement. It is caused by liver distention due to the breakdown of red blood cells and platelets, which can lead to a condition known as HELLP syndrome. This manifestation is a significant indicator of early preeclampsia and requires prompt evaluation and intervention to prevent complications for both the mother and the baby. While the other options may be present in preeclampsia, severe epigastric pain is a more specific and concerning symptom requiring immediate attention.
Question 5 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: Failed to generate a rationale of 500+ characters after 5 retries.
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
The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 8 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.
Question 9 of 9
The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.