ATI RN
Fundamentals Nursing Process Questions Questions
Question 1 of 5
The nursing care for the client in addisonian crisis should include which of the following interventions?
Correct Answer: C
Rationale: The correct answer is C because in Addisonian crisis, the client experiences adrenal insufficiency leading to decreased cortisol levels and impaired stress response. Offering extra blankets and raising room temperature helps prevent hypothermia, as clients in crisis are unable to regulate body temperature. Encouraging independence with ADLs (choice A) and ambulation (choice B) are not priorities as the client is in a critical state. Placing the client in a private room (choice D) is not directly related to managing Addisonian crisis.
Question 2 of 5
A client hyperparathyroidism declines surgery and is to receive hormone replacement therapy with estrogen and progesterone. Which of the following instructions would be most important to include in the client’s teaching plan?
Correct Answer: A
Rationale: The correct answer is A: maintain a moderate exercise. Exercise helps in maintaining bone density, which is crucial in managing hyperparathyroidism. Moderate exercise can also help in weight management and overall health. Choice B, losing weight, can be helpful but not as crucial as exercise. Choice C, jogging 2 miles per day, may be excessive for some individuals and not necessary for managing hyperparathyroidism. Choice D, resting as much as possible, is not recommended as it can lead to muscle weakness and bone loss, which are already concerns in hyperparathyroidism.
Question 3 of 5
A client is brought to the emergency department in an unconscious condition. The client’s wife hands over the previous medical files and points out that the client had suddenly fallen unconscious after trying to get out of bed. Which of the following is a primary source of information?
Correct Answer: A
Rationale: The correct answer is A: Client’s wife. She is the primary source of information as she witnessed the event firsthand and provided relevant details. In this scenario, the wife's account of the event is crucial in understanding the sequence of events leading to the client's unconscious condition. Medical documents (B), test results (C), and assessment data (D) are all secondary sources of information that may provide additional data but do not have the same level of immediacy or firsthand knowledge as the client's wife. In an emergency situation, information from a reliable eyewitness is often the most valuable initial source for healthcare providers to make critical decisions.
Question 4 of 5
The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get with mammograms:
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. The American Cancer Society recommends yearly mammograms after age 40 for early breast cancer detection. 2. Mammograms are most effective for women aged 40 and older in detecting breast cancer. 3. Regular mammograms can help detect breast cancer at an early stage, improving treatment outcomes. Summary of why other choices are incorrect: B: Mammograms should start at age 40, not after the birth of the first child. C: Mammograms are not recommended after the first menstrual period; they should start at age 40. D: Mammograms should be done annually after age 40, not every 3 years between ages 20 and 40.
Question 5 of 5
Which of the following guidelines should a nursing instructor provide to nursing students who are now responsible for assessing their clients?
Correct Answer: A
Rationale: The correct answer is A because continuous assessment allows for timely identification of changes in the client's condition. This is crucial for providing appropriate and timely interventions. Assessing the client only at specific times (choices B and C) may lead to missing important changes. Choice D is incorrect because assessments should not be limited to physician rounds; they should be ongoing to ensure comprehensive care.
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