ATI RN
Giddens Concepts for Nursing Practice Test Bank Questions
Question 1 of 9
The nurse is caring for a premature infant diagnosed with patent ductus arteriosus (PDA). Which medication should the nurse anticipate administering to this client?
Correct Answer: A
Rationale: Indomethacin is a medication commonly used to treat patent ductus arteriosus (PDA) in premature infants. PDA is a condition where the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. Indomethacin works by inhibiting prostaglandin synthesis, which helps to promote closure of the ductus arteriosus. This medication is often used in premature infants with PDA to prevent complications and improve outcomes. Propranolol is a beta-blocker used for different conditions, antibiotics are used to treat infections, and Prostaglandin E1 is used to maintain ductal patency in certain cardiac conditions where closure is not desired.
Question 2 of 9
A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
Correct Answer: A
Rationale: 1. Pulses absent in the extremity with the wound (Option A): In chronic venous insufficiency, damaged valves in the veins result in blood pooling in the lower extremities. This can lead to decreased arterial perfusion and impaired circulation, causing weakened or absent pulses in the affected extremity.
Question 3 of 9
The nurse is caring for a premature infant diagnosed with patent ductus arteriosus (PDA). Which medication should the nurse anticipate administering to this client?
Correct Answer: A
Rationale: Indomethacin is a medication commonly used to treat patent ductus arteriosus (PDA) in premature infants. PDA is a condition where the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. Indomethacin works by inhibiting prostaglandin synthesis, which helps to promote closure of the ductus arteriosus. This medication is often used in premature infants with PDA to prevent complications and improve outcomes. Propranolol is a beta-blocker used for different conditions, antibiotics are used to treat infections, and Prostaglandin E1 is used to maintain ductal patency in certain cardiac conditions where closure is not desired.
Question 4 of 9
The nurse has identified Ineffective Peripheral Tissue Perfusion as a nursing diagnosis for a client with disseminated intravascular coagulation (DIC). What intervention would be appropriate for the client?
Correct Answer: B
Rationale: In the context of Ineffective Peripheral Tissue Perfusion in a client with disseminated intravascular coagulation (DIC), administering oxygen is the most appropriate intervention. DIC is a serious condition characterized by widespread clotting in small blood vessels throughout the body, leading to tissue ischemia and inadequate perfusion. Administering oxygen can support tissue oxygenation and improve perfusion to the peripheral tissues, helping to alleviate the effects of decreased blood flow and oxygen delivery caused by DIC. Oxygen therapy can help optimize oxygen levels in the blood and tissues, promoting better tissue perfusion and overall patient outcomes. Monitoring oxygen saturation and ensuring adequate oxygen delivery are crucial aspects of managing tissue perfusion in clients with DIC.
Question 5 of 9
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.
Question 6 of 9
The nurse is caring for a patient recovering from a below-the-knee amputation. What should be included in this patient’s plan of care? Select all that apply.
Correct Answer: A
Rationale: A. Elevate the stump: Elevation of the stump helps to reduce swelling and improve blood circulation, aiding in the healing process after the amputation.
Question 7 of 9
Which nursing intervention related to perfusion can be performed independently?
Correct Answer: C
Rationale: Teaching relaxation techniques related to perfusion can be independently performed by a nurse without requiring supervision or intervention from a healthcare provider. This nursing intervention focuses on promoting stress reduction and improving overall perfusion by enhancing circulation and decreasing the workload of the heart. The nurse can educate the patient on various relaxation techniques such as deep breathing exercises, guided imagery, progressive muscle relaxation, and meditation to help optimize perfusion levels. Additionally, teaching relaxation techniques empowers the patient to actively participate in their care and improve their overall well-being.
Question 8 of 9
The nurse is preparing to discharge a client recovering from a pulmonary embolism (PE). Which topics should the nurse to include in the teaching session? Select all that apply.
Correct Answer: A
Rationale: A. Limit the use of over-the-counter medications: This is important because some over-the-counter medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin, can increase the risk of bleeding in individuals taking anticoagulants for the treatment of pulmonary embolism.
Question 9 of 9
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.