Questions 9

ATI RN

Home > ATI RN > Concepts In Nursing > Concepts for Nursing Practice Test Bank
ATI RN Test Bank

Concepts for Nursing Practice Test Bank Questions

Question 1 of 5

The nurse is preparing to conduct a cardiac assessment for a pediatric client. Which location will the nurse use when auscultating the apical pulse?

Correct Answer: A

Rationale: When auscultating the apical pulse in pediatric clients, the nurse should place the stethoscope at the fifth intercostal space at the midclavicular line. This location is where the apex of the heart is located in pediatric clients and provides the most accurate assessment of the apical pulse. Placing the stethoscope at the left nipple (B) or right nipple (C) would not provide an accurate assessment of the apical pulse location. Auscultating at the eighth intercostal space (D) would be too low and not capture the apical pulse accurately.

Question 2 of 5

The mother of a baby born with a congenital heart defect is upset, as no one else in the family has been born with this condition. To determine the cause of the defect, which question is appropriate for the nurse to ask the mother?

Correct Answer: A

Rationale: The appropriate question for the nurse to ask the mother in this scenario is "Did you consume any alcohol before you knew you were pregnant?" This is because maternal alcohol consumption during pregnancy is a known risk factor for congenital heart defects. By asking this question, the nurse can gather crucial information to determine a potential cause for the baby's condition. It is important to address this potential risk factor to provide appropriate care and support to the mother and baby.

Question 3 of 5

The nurse is performing an assessment of a client. Which should the nurse recognize as a noncardiac risk factor for heart failure?

Correct Answer: C

Rationale: Hyperthyroidism is a noncardiac risk factor for heart failure because it can lead to increased heart rate, palpitations, and ultimately strain on the heart. When a person has hyperthyroidism, the thyroid gland produces too much thyroid hormone, which can impact the cardiovascular system by affecting heart function. This increased workload on the heart can contribute to the development of heart failure. It is important for the nurse to recognize hyperthyroidism as a potential risk factor for heart failure during the assessment of the client.

Question 4 of 5

The client's vital signs include P 119, R 24, BP 98/63, T 1°F, and SpO2 89%. Which actions would the nurse implement at this time? Select all that apply.

Correct Answer: B

Rationale: B. Coach in nonpharmacologic pain management techniques: The client's vital signs indicate they may be experiencing pain as evidenced by an elevated heart rate (P 119), which can be addressed initially with nonpharmacologic pain management techniques. This approach can help reduce pain and anxiety without the immediate need for medication.

Question 5 of 5

A client is admitted to the intensive care unit with disseminated intravascular coagulation (DIC). Which clinical manifestations does the nurse anticipate? Select all that apply.

Correct Answer: A

Rationale: 1. Tachycardia: Disseminated intravascular coagulation (DIC) can lead to widespread clotting within the blood vessels, which can result in tissue ischemia and subsequent compensatory mechanisms such as tachycardia to increase cardiac output and maintain perfusion.

Similar Questions

A client is admitted to the intensive care unit with disseminated intravascular coagulation (DIC). Which clinical manifestations does the nurse anticipate? Select all that apply.
The nurse is evaluating the teaching provided to a patient with acute glomerulonephritis. Which patient action indicates that additional teaching is not necessary?
During the health history of an older male patient, the nurse focuses on the gland that encircles the male urethra at the base of the bladder. On which organ is the nurse focusing?
A nurse working in the emergency department is participating in the resuscitation of a client experiencing sudden cardiac death. After five cycles of CPR, the nurse evaluates the client's cardiac rhythm as asystole. What is the next action by the nurse?
A client diagnosed with a pulmonary embolism has a reduction in arterial oxygen saturation level and dyspnea. Which is the priority nursing diagnosis for this client?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.

Call to Action Image