ATI RN
Dewits Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 5
What type of shock is characterized by increased pulse and respirations, normal blood pressure, elevated body temperature, and warm and flushed skin?
Correct Answer: C
Rationale: Neurogenic shock is characterized by decreased vascular resistance due to loss of sympathetic tone. In this type of shock, there is widespread vasodilation leading to pooling of blood in the peripheral vessels, resulting in decreased venous return to the heart. The decreased vascular resistance results in relative hypovolemia despite normal blood volume, leading to compensatory mechanisms such as increased pulse and respirations to maintain tissue perfusion. The warm and flushed skin in neurogenic shock is a result of peripheral vasodilation, while the normal blood pressure is maintained due to the compensatory mechanisms and the lack of actual blood volume loss. Additionally, the elevated body temperature is a possible manifestation due to the systemic response to the shock state.
Question 2 of 5
The nursing student is planning an educational program for a school project. The program is focusing on cancer detection education for a community group. What should the nursing student plan to include in order to address the various learning styles of the target group?
Correct Answer: D
Rationale: Option D, which includes audiovisuals, examples, group discussions, and activities, is the most comprehensive approach to address the various learning styles of the target group. This holistic approach caters to visual learners through audiovisual materials, auditory learners through group discussions, and kinesthetic learners through activities. By incorporating a variety of teaching methods, the nursing student can accommodate different learning preferences within the community group, ultimately enhancing the educational program's effectiveness and engagement.
Question 3 of 5
Which is true about the physiology of neuroendocrine compensatory mechanism?
Correct Answer: B
Rationale: The correct answer is B because the statement accurately reflects the physiology of the neuroendocrine compensatory mechanism. When there is a decrease in cardiac output, the body activates the sympathetic nervous system and releases catecholamines such as epinephrine and norepinephrine. These catecholamines help increase heart rate, contractility, and vasoconstriction to maintain blood pressure and perfusion to vital organs. This compensatory mechanism aims to overcome the decreased cardiac output and maintain adequate tissue perfusion in response to stress or reduced blood flow.
Question 4 of 5
A nurse is teaching a client about the different types of angina. Which client statement indicate the need for follow up teaching?
Correct Answer: B
Rationale: Prinzmetal angina, also known as variant angina, is not typically associated with strenuous exercise. It is a type of angina that occurs at rest, often during the night or early morning hours. It is caused by a temporary spasm of the coronary arteries, leading to a decrease in blood flow to the heart muscle. Clients with Prinzmetal angina may experience chest pain, often with changes in the electrocardiogram (ECG) during an episode. Therefore, the client's statement about Prinzmetal angina occurring with strenuous exercise is incorrect and indicates the need for follow-up teaching.
Question 5 of 5
A patient recovering from a partial nephrectomy is in the post-anesthesia care unit. Which interventions would be a priority for the patient? Select all that apply.
Correct Answer: B
Rationale: - Labeling and securing all catheters, tubes, and drains (Choice B) is a priority intervention as it ensures proper monitoring and identification of the postoperative devices. By keeping these items labeled and secure, healthcare providers can prevent accidental dislodgement or confusion, leading to improved patient safety and management.