Questions 9

ATI RN

ATI RN Test Bank

test bank foundations of nursing Questions

Question 1 of 5

Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy?

Correct Answer: B

Rationale: The correct answer is B: Administration of methotrexate. This is the priority intervention for an intact tubal pregnancy to prevent further growth and potential rupture of the fallopian tube. Methotrexate is a medication used to stop the growth of the pregnancy tissue. Assessment of pain level (A) is important but not the priority as immediate intervention to address the ectopic pregnancy is crucial. Administration of Rh immune globulin (C) is not the priority in this situation, as it is typically given after a miscarriage or abortion to prevent Rh sensitization. Explanation of common side effects (D) is important for patient education, but it is not the immediate priority when dealing with an ectopic pregnancy.

Question 2 of 5

A nurse wants to find all the pertinent patientinformation in one record, regardless of the number of times the patient entered the health care system. Which record should the nurse find?

Correct Answer: B

Rationale: The correct answer is B: Electronic health record. An Electronic Health Record (EHR) contains comprehensive health information about an individual that is collected across different health care providers and organizations. This includes medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results. The EHR is designed to be accessible by authorized healthcare providers and ensures that all pertinent patient information is available in one centralized record, regardless of the number of times the patient entered the health care system. A: Electronic medical record (EMR) typically contains information from a single provider or organization. C: Electronic charting record is more focused on documenting care provided during a specific encounter. D: Electronic problem record is limited to tracking specific health issues or conditions.

Question 3 of 5

A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurses care?

Correct Answer: A

Rationale: The correct answer is A: To improve the patients and familys quality of life. In palliative care for end-stage COPD, the primary goal is to enhance quality of life by managing symptoms, providing emotional support, and ensuring comfort. Choice B is incorrect as palliative care focuses on comfort rather than aggressive treatments. Choice C is incorrect because palliative care encompasses not only physical but also emotional, social, and spiritual support. Choice D is incorrect as the goal is to provide holistic care rather than separate plans for each discipline. Ultimately, the primary focus of palliative care in this scenario is to improve the overall quality of life for the patient and their family.

Question 4 of 5

Initiate feeding.

Correct Answer: B

Rationale: The correct answer is B (2, 4, 1, 3, 5) because it follows the correct sequential order for initiating feeding. First, you need to prepare the food (2), then set up the feeding area (4), followed by inviting the person to eat (1), serving the food (3), and finally allowing them to eat (5). The other choices do not adhere to the logical sequence required for initiating feeding. Choice A and D have incorrect sequences of steps, while Choice C has steps 1 and 4 switched, which disrupts the proper order of initiating feeding.

Question 5 of 5

A patient newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. What conservative management measures should the nurse teach the patient to implement?

Correct Answer: B

Rationale: The correct answer is B: Sleep on a firm mattress. A firm mattress helps maintain proper spinal alignment, reducing pressure on the cervical spine. This promotes healing and prevents worsening of symptoms. A: Performing active ROM exercises may exacerbate symptoms and worsen the condition. C: Applying cool compresses may provide temporary relief but does not address the underlying issue of spinal alignment. D: Wearing a cervical collar for extended periods can weaken neck muscles and hinder natural healing processes. In summary, sleeping on a firm mattress is the most appropriate conservative measure as it supports proper spinal alignment.

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