ATI RN
foundations of nursing practice questions Questions
Question 1 of 9
Which postpartum patient reqNuUirResS fuIrNthGerT aBss.esCsmOeMnt?
Correct Answer: A
Rationale: The correct answer is A because the postpartum patient who has had four saturated pads during the last 12 hours should receive further assessment. This indicates excessive postpartum bleeding (postpartum hemorrhage), which is a critical complication that requires immediate intervention to prevent complications like hypovolemic shock. Monitoring vital signs, assessing for signs of shock, evaluating uterine tone, and determining the cause of bleeding are crucial steps in managing postpartum hemorrhage. Choices B, C, and D are not the correct answers because: B: A patient with Class II heart disease complaining of frequent coughing is more likely experiencing cardiac-related issues and requires evaluation and management by a cardiologist. C: A patient with gestational diabetes and a fasting blood sugar level of 100 mg/dL is within the normal range and does not require immediate further assessment. D: A postcesarean patient with active herpes lesions on the labia requires appropriate management of the herpes infection but does not necess
Question 2 of 9
An abortion when the fetus dies but is retained in the uterus is called
Correct Answer: B
Rationale: The correct answer is B: missed. In a missed abortion, the fetus dies but is not immediately expelled from the uterus. This term specifically describes the situation where the fetus is retained in the uterus. Choice A (inevitable) refers to a situation where abortion is certain to occur, choice C (incomplete) refers to partial expulsion of the fetus, and choice D (threatened) refers to a situation where the woman has vaginal bleeding, but the fetus is still viable. Therefore, the term "missed" accurately describes the scenario where the fetus dies but remains in the uterus.
Question 3 of 9
Which postpartum patient reqNuUirResS fuIrNthGerT aBss.esCsmOeMnt?
Correct Answer: A
Rationale: The correct answer is A because the postpartum patient who has had four saturated pads during the last 12 hours should receive further assessment. This indicates excessive postpartum bleeding (postpartum hemorrhage), which is a critical complication that requires immediate intervention to prevent complications like hypovolemic shock. Monitoring vital signs, assessing for signs of shock, evaluating uterine tone, and determining the cause of bleeding are crucial steps in managing postpartum hemorrhage. Choices B, C, and D are not the correct answers because: B: A patient with Class II heart disease complaining of frequent coughing is more likely experiencing cardiac-related issues and requires evaluation and management by a cardiologist. C: A patient with gestational diabetes and a fasting blood sugar level of 100 mg/dL is within the normal range and does not require immediate further assessment. D: A postcesarean patient with active herpes lesions on the labia requires appropriate management of the herpes infection but does not necess
Question 4 of 9
A nurse is caring for a male patient with urinaryretention. Which action should the nurse takefirst?
Correct Answer: C
Rationale: The correct answer is C: Assist to a standing position. This action helps utilize gravity to aid in emptying the bladder and may help the patient void without the need for invasive measures like catheterization or medications. It is a non-invasive and natural approach to promote urination. Limiting fluid intake (A) could worsen the situation by concentrating urine and worsening retention. Inserting a urinary catheter (B) should be considered only if other measures fail. Asking for a diuretic medication (D) does not address the immediate need for bladder emptying and may not be necessary if the patient can void naturally.
Question 5 of 9
As a staff member in a local hospice, a nurse deals with death and dying on a frequent basis. Where would be the safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died?
Correct Answer: D
Rationale: The correct answer is D: At a memorial service. This is a safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died because a memorial service is specifically designed to honor and remember the deceased. It provides a supportive and understanding environment where emotions can be shared openly without judgment. The nurse can find comfort in sharing her feelings with others who have also been impacted by the patient's passing. Incorrect choices: A: In the cafeteria - Not an appropriate setting for expressing personal emotions related to death and dying. B: At a staff meeting - Might not be the most suitable place as the focus is on work-related matters. C: At a social gathering - Not specifically designed for processing grief and may not provide the necessary support and understanding.
Question 6 of 9
A public health nurse is participating in a campaign aimed at preventing cervical cancer. What strategies should the nurse include is this campaign? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Promotion of HPV immunization. This strategy is effective in preventing cervical cancer by targeting the main cause, which is Human Papillomavirus (HPV). The HPV vaccine can protect against the most common types of HPV that cause cervical cancer. Encouraging young women to delay first intercourse (B) does not directly prevent HPV transmission, as the virus can be transmitted through other means. Smoking cessation (C) is important for overall health but does not specifically prevent cervical cancer. Vitamin D and calcium supplementation (D) may have general health benefits but do not directly prevent cervical cancer. Using safer sex practices (E) can reduce the risk of HPV transmission but does not provide the same level of protection as HPV immunization.
Question 7 of 9
A group of high school students is attending a concert, which will be at a volume of 80 to 90 dB. What is a health consequence of this sound level?
Correct Answer: B
Rationale: The correct answer is B: Hearing loss may occur with a decibel level in this range. Prolonged exposure to sound levels between 80-90 dB can lead to hearing damage over time. This range is considered high and can cause irreversible damage to the hair cells in the inner ear, leading to hearing loss. Choices A, C, and D are incorrect because hearing can be affected at this decibel level, the sound can be harsh to the ear, and earplugs can help reduce the risk of hearing damage at these levels.
Question 8 of 9
A patient is experiencing oliguria. Which actionshould the nurse performfirst?
Correct Answer: A
Rationale: The correct answer is A: Assess for bladder distention. Oliguria indicates decreased urine output, which could be due to urinary retention. Assessing for bladder distention helps identify the underlying cause. Requesting diuretics (B) without assessing first is premature. Increasing IV fluid rate (C) may worsen the situation if there is urinary retention. Encouraging caffeinated beverages (D) is not appropriate as they can worsen dehydration.
Question 9 of 9
A patient has sought care, stating that she developed hives overnight. The nurses inspection confirms the presence of urticaria. What type of allergic hypersensitivity reaction has the patient developed?
Correct Answer: A
Rationale: The correct answer is A: Type I hypersensitivity reaction. This type of reaction involves the release of histamine from mast cells and basophils, leading to symptoms like hives. It is characterized by the involvement of IgE antibodies. In this case, the patient developed hives quickly after exposure to the allergen, indicating an immediate hypersensitivity reaction typical of Type I. Choices B, C, and D are incorrect because they are associated with different mechanisms and timeframes of hypersensitivity reactions. Type II involves antibody-mediated cell destruction, Type III involves immune complex deposition, and Type IV is a delayed-type hypersensitivity reaction mediated by T cells, none of which are consistent with the rapid onset of hives seen in this patient.