ATI RN
Dewits Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 5
The nurse is planning care for a client with a pulmonary embolism. Which nursing action would assist with the client's decrease in cardiac output?
Correct Answer: A
Rationale: Providing oxygen will help increase the oxygen supply to the tissues, thus supporting the heart in maintaining cardiac output. A decrease in cardiac output is a concern with pulmonary embolism as it can lead to inadequate tissue perfusion and possible complications. Oxygen therapy can improve oxygenation and support the heart in meeting the body's demands, helping to stabilize cardiac output. Monitoring and assessing pulmonary arterial pressures would be important in managing a pulmonary embolism but would not directly assist in increasing cardiac output. Keeping protamine sulfate at the bedside is more relevant for managing heparin overdose, not specifically for addressing a decrease in cardiac output. Assessing for bleeding is important in monitoring for potential complications of anticoagulant therapy but does not directly address the decrease in cardiac output seen in pulmonary embolism.
Question 2 of 5
The nurse is preparing to assess a patient’s thyroid gland. For which criteria is the nurse assessing this gland?
Correct Answer: B
Rationale: When assessing the thyroid gland, the nurse primarily focuses on evaluating its size and consistency. The size of the thyroid can give indications of potential abnormalities such as enlargement (goiter) or nodules. Consistency refers to the feel of the gland, which can vary depending on conditions such as inflammation or malignancy. Monitoring size and consistency helps the nurse in detecting common thyroid issues and determining appropriate interventions for the patient. Pain, pulse rate, character, texture, edema, and movement are not the primary criteria used to assess the thyroid gland.
Question 3 of 5
During a health history interview, a patient reports having to get up to void several times during the night and there is burning when passing urine. Which terms should the nurse use when documenting this patient’s manifestations? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient recovering from a partial nephrectomy is in the post-anesthesia care unit. Which interventions would be a priority for the patient? Select all that apply.
Correct Answer: B
Rationale: - Labeling and securing all catheters, tubes, and drains (Choice B) is a priority intervention as it ensures proper monitoring and identification of the postoperative devices. By keeping these items labeled and secure, healthcare providers can prevent accidental dislodgement or confusion, leading to improved patient safety and management.
Question 5 of 5
The nurse reviews documentation on a patient with a long leg cast for a fracture in which the pulses in the foot were decreased and the patient was experiencing a pain rating of 8 on a scale of 0 to 10 during the previous shift. Which additional findings should the nurse immediately report to the healthcare provider? Select all that apply.
Correct Answer: C
Rationale: Cyanosis in the foot indicates poor circulation or decreased blood flow to the area, which is concerning in a patient with a long leg cast and decreased pulses. This could signify a significant decrease in oxygenated blood reaching the foot, which could lead to serious complications if not addressed promptly. The nurse should report this finding immediately to the healthcare provider for further assessment and intervention.