ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
What type of grief is a client experiencing when a wife is still grieving her deceased husband of five years ago?
Correct Answer: A
Rationale: The correct answer is A: Chronic grief. Chronic grief occurs when an individual experiences long-lasting and unresolved grief over an extended period of time. In this scenario, the wife is still grieving her deceased husband after five years, indicating a prolonged and ongoing grief process. Delayed grief (B) refers to a postponed emotional response, which is not the case here as the grief has been ongoing. Masked grief (C) involves displaying symptoms of grief in other ways, without acknowledging the underlying loss, which is not evident in this situation. Uncomplicated grief (D) refers to a typical, expected response to loss without any complicating factors, which may not be the case for the wife still grieving after five years.
Question 2 of 5
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push to a client in CHF is an action that falls under the Implementation phase of the nursing process, where the nurse carries out the planned interventions to help achieve the client's goals. Assessment (A) is the data collection phase, Planning (B) involves setting goals and determining interventions, and Evaluation (D) is the phase where the nurse assesses the effectiveness of the interventions. In this case, actually administering the medication is executing the planned intervention, thus categorizing it under Implementation.
Question 3 of 5
Which flow sheet provides the health care provider with information on an ongoing record of fluid loss?
Correct Answer: D
Rationale: The correct answer is D, the Intake & Output (I&O) graphic sheet, as it provides a comprehensive record of fluid loss by documenting all fluids taken in and excreted by the patient. This is crucial for monitoring hydration status and detecting any imbalances. The Critical care flow sheet (A) focuses on critical care parameters, the Vital signs graphic sheet (B) records vital signs, and the Health assessment flow sheet (C) documents patient assessments. These choices do not specifically track fluid loss like the I&O graphic sheet does.
Question 4 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next?
Correct Answer: D
Rationale: The correct answer is D. Holding potassium chloride (KCl) and calling the healthcare provider (HCP) is crucial because administering electrolytes without proper assessment can be dangerous. If the electrolyte panel shows abnormal levels, especially for potassium, the nurse must seek guidance from the healthcare provider to prevent potential harm. Re-checking the client's basic metabolic panel (BMP) (choice A) may not provide specific information about the electrolyte imbalance. Administering calcium carbonate (choice B) may not address the specific electrolyte imbalance revealed in the panel. Administering potassium chloride (KCl) (choice C) without further assessment and guidance could worsen the imbalance.
Question 5 of 5
When auscultating a client9s abdomen, how long should the nurse listen before concluding the bowel sounds are absent?
Correct Answer: B
Rationale: The correct answer is B: 5 minutes. This is because the nurse should listen for a minimum of 5 minutes to accurately determine if bowel sounds are absent. Bowel sounds may be irregular and taking the time to listen for a longer period increases the chances of detecting any sounds. Listening for only 1 minute (choice A) may not provide a comprehensive assessment. Listening for 10 minutes (choice C) or 15 minutes (choice D) is unnecessary and may lead to unnecessary delays in patient care.