ATI RN
Dewits Fundamental Concepts and Skills for Nursing Test Bank Questions
Question 1 of 4
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 4
During a health history interview, a patient reports having to get up to void several times during the night and there is burning when passing urine. Which terms should the nurse use when documenting this patient’s manifestations? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 4
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.
Question 4 of 4
The nurse reviews documentation on a patient with a long leg cast for a fracture in which the pulses in the foot were decreased and the patient was experiencing a pain rating of 8 on a scale of 0 to 10 during the previous shift. Which additional findings should the nurse immediately report to the healthcare provider? Select all that apply.
Correct Answer: C
Rationale: Cyanosis in the foot indicates poor circulation or decreased blood flow to the area, which is concerning in a patient with a long leg cast and decreased pulses. This could signify a significant decrease in oxygenated blood reaching the foot, which could lead to serious complications if not addressed promptly. The nurse should report this finding immediately to the healthcare provider for further assessment and intervention.