ATI RN
Fundamentals of Nursing Care Concepts, Connections & Skills Test Bank Questions
Question 1 of 5
The nurse is teaching a client about the associated health risks of cocaine use. Which statement should the nurse use to describe how cocaine can cause myocardial infarction (MI)?
Correct Answer: C
Rationale: Cocaine causes myocardial infarction (MI) primarily by increasing sympathetic nervous system stimulation. When a person uses cocaine, it leads to an excessive release of catecholamines, such as norepinephrine and epinephrine. These catecholamines cause an increase in heart rate, blood pressure, and vasoconstriction. The increased workload on the heart, combined with the reduced oxygen supply due to vasoconstriction, can lead to myocardial ischemia and potentially result in a myocardial infarction. Thus, the significant impact of cocaine on the sympathetic nervous system is the primary mechanism by which it can cause MI.
Question 2 of 5
When planning care for this client, which does the nurse understand about systolic heart failure?
Correct Answer: A
Rationale: Systolic heart failure is characterized by the inability of the heart to effectively contract and pump out an adequate amount of blood to meet the body's demands. This results in a decrease in the ejection fraction, which is the percentage of blood ejected from the ventricle with each heartbeat. The ventricle's inadequate contraction leads to diminished cardiac output, resulting in symptoms such as fatigue, dyspnea, and decreased exercise tolerance. Therefore, understanding that systolic heart failure is primarily due to the inadequate contraction of the ventricle is crucial in planning care for clients with this condition.
Question 3 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 4 of 5
The nurse is caring for a 6-year-old child when the child goes into cardiac arrest. When performing compressions for CPR, what should the nurse do?
Correct Answer: A
Rationale: When performing CPR on a 6-year-old child, the nurse should place thumbs side by side and perform compressions below the nipple line. For children ages 1 to 8 years old, it is recommended to use the two-thumb encircling hands technique for chest compressions. This involves placing both thumbs on the lower half of the child's breastbone below the nipple line. This technique helps provide effective chest compressions that are appropriate for a child's size and physiology. It is important to follow these guidelines to ensure proper care and maximize the chances of a successful outcome when providing CPR to a child in cardiac arrest.
Question 5 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.