ATI RN
Fundamentals of Nursing Care Concepts, Connections & Skills Test Bank Questions
Question 1 of 5
The nurse provides discharge instructions to the parents of a child recovering from surgery to repair a congenital heart defect. What statement indicates that teaching has been effective?
Correct Answer: B
Rationale: The statement "Our child will need to take antibiotics prior to having dental surgery" indicates that teaching has been effective because it shows that the parents have understood the importance of antibiotic prophylaxis to prevent infective endocarditis in a child with a repaired congenital heart defect. This precaution is crucial to protect the child's heart health during dental procedures and indicates that the parents have grasped the key points of the discharge instructions regarding their child's cardiac care post-surgery. The other statements are incorrect and could potentially lead to negative outcomes if followed.
Question 2 of 5
A client with disseminated intravascular coagulation (DIC) is anxious and has decreased oxygen saturation. Which is the priority nursing diagnosis for this client?
Correct Answer: B
Rationale: In a client with disseminated intravascular coagulation (DIC) who is anxious and has decreased oxygen saturation, the priority nursing diagnosis is Impaired Gas Exchange. DIC can lead to microvascular thrombosis and bleeding, which can affect oxygenation at the cellular level. The client's decreased oxygen saturation indicates a problem with gas exchange, which is crucial for the delivery of oxygen to tissues and the removal of carbon dioxide. Prioritizing this issue is essential to prevent complications related to poor tissue oxygenation, such as organ dysfunction. Addressing the client's anxiety would also be important, but ensuring adequate gas exchange takes precedence to maintain tissue perfusion and oxygenation.
Question 3 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 4 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 5 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.