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: A. V/Q scan: A ventilation-perfusion (V/Q) scan is a test used to diagnose pulmonary embolism by evaluating airflow and blood flow in the lungs. It is a common diagnostic test for suspected pulmonary embolism without DVT.
Question 2 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 3 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 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
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 6 of 9
The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?
Correct Answer: A
Rationale: Understanding human growth and development is crucial when discussing the risks of alcohol consumption for the developing fetus. Alcohol can have profound negative effects on the developing fetus, leading to a range of physical, cognitive, and behavioral abnormalities known as Fetal Alcohol Spectrum Disorders (FASDs). These effects can impact the fetus at various stages of development, making it important for pregnant clients to be aware of the risks associated with alcohol consumption during pregnancy. By focusing on human growth and development, the nurse can help pregnant clients grasp the critical importance of avoiding alcohol to ensure the healthy growth and development of their babies.
Question 7 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 8 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 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: A. Monitoring B-type natriuretic peptide (BNP) level is important in a client with Excess Fluid Volume due to cardiomyopathy. BNP is a hormone secreted by the heart in response to fluid overload, so elevated levels can indicate increased fluid volume in the body.