ATI RN
Fundamentals of Nursing Care Concepts, Connections & Skills Test Bank Questions
Question 1 of 5
The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. The client had preeclampsia during the last 3 weeks of pregnancy. Which interventions are appropriate for this client within the first 48 hours after birth? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client scheduled for surgery is being instructed in leg exercises and the pneumatic compression device. The nurse includes these instructions to decrease which postoperative complication?
Correct Answer: D
Rationale: The client is being instructed in leg exercises and the pneumatic compression device to decrease the risk of developing deep vein thrombosis (DVT) postoperatively. DVT is a serious complication that can occur due to decreased mobility, venous stasis, and hypercoagulability associated with surgery. Leg exercises help promote circulation and prevent blood stasis in the veins, while pneumatic compression devices can also assist in improving blood flow and preventing the formation of blood clots in the deep veins of the legs. By reducing the risk of DVT, the client can avoid potential complications such as pulmonary embolism, which can be life-threatening.
Question 3 of 5
The nurse is caring for a child who was burned in a house fire. The child has burns on 30% of his body, particularly his legs. The child suddenly goes into shock and needs CPR. What is the first step the nurse should take based on pediatric advanced life support (PALS) guidelines?
Correct Answer: B
Rationale: In pediatric advanced life support (PALS) guidelines, the first step in CPR for a child in shock is to begin chest compressions, not ventilations. This is because the priority is to maintain blood flow to vital organs, especially in cases where the child's heart is not effectively pumping due to shock. By performing chest compressions immediately, the nurse can help circulate oxygenated blood throughout the child's body, increasing the chances of survival. Once chest compressions are initiated, ventilations can be added to support oxygenation and ventilation. Obtaining a defibrillator and establishing vascular access are important steps in advanced resuscitation but are not the initial actions in this scenario of a child in shock needing CPR.
Question 4 of 5
The nurse reviews the laboratory tests prescribed for a patient. Which test will be used to determine the patient’s thyroid function?
Correct Answer: B
Rationale: Thyroid-stimulating hormone (TSH) is the test used to determine a patient's thyroid function. TSH is produced by the pituitary gland and stimulates the thyroid gland to produce thyroid hormones such as T3 (triiodothyronine) and T4 (thyroxine). Abnormal levels of TSH can indicate hypo- or hyperthyroidism, providing valuable information about the thyroid function of the patient. Therefore, when assessing thyroid function, TSH is the key laboratory test to review.
Question 5 of 5
The nurse is beginning to assess a patient’s renal system. What should the nurse ask the patient to do before this examination?
Correct Answer: A
Rationale: Before assessing the renal system, it is important for the patient to empty their bladder. This will allow for a more accurate assessment of the renal system, as a full bladder can interfere with the examination and may provide misleading results. Additionally, it helps the nurse to isolate any issues related to the renal system more effectively.