ATI RN
Concepts for Nursing Practice Test Bank Questions
Question 1 of 5
A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?
Correct Answer: A
Rationale: Impaired Gas Exchange is the nursing diagnosis that should take the highest priority for implementing client education in a client with chronic obstructive pulmonary disease (COPD). Since COPD directly affects the ability of the lungs to take in oxygen and eliminate carbon dioxide, impaired gas exchange is a critical concern for these patients. By educating the client on proper breathing techniques, medication adherence, smoking cessation, and environmental triggers, the nurse can help in improving gas exchange and overall respiratory function. Addressing Impaired Gas Exchange as a priority can significantly impact the client's quality of life and prevent respiratory complications.
Question 2 of 5
A client is admitted to the intensive care unit with disseminated intravascular coagulation (DIC). Which clinical manifestations does the nurse anticipate? Select all that apply.
Correct Answer: A
Rationale: 1. Tachycardia: Disseminated intravascular coagulation (DIC) can lead to widespread clotting within the blood vessels, which can result in tissue ischemia and subsequent compensatory mechanisms such as tachycardia to increase cardiac output and maintain perfusion.
Question 3 of 5
The client's vital signs include P 119, R 24, BP 98/63, T 1�F, and SpO2 89%. Which actions would the nurse implement at this time? Select all that apply.
Correct Answer: B
Rationale: B. Coach in nonpharmacologic pain management techniques: The client's vital signs indicate they may be experiencing pain as evidenced by an elevated heart rate (P 119), which can be addressed initially with nonpharmacologic pain management techniques. This approach can help reduce pain and anxiety without the immediate need for medication.
Question 4 of 5
The nurse is preparing instructional materials for a patient recovering from a fractured leg. What mineral should the nurse teach as being essential in bone healing?
Correct Answer: B
Rationale: Calcium is essential in bone healing as it is a major component of bone tissue. Adequate calcium intake is crucial for maintaining bone density and strength, which is particularly important during the healing process of a fractured bone. Calcium plays a key role in the mineralization of bone tissue, helping in the formation of new bone and repair of the fractured area. Therefore, teaching the patient about the importance of sufficient calcium intake is vital for promoting bone healing and recovery.
Question 5 of 5
The nurse is performing an assessment of a client. Which should the nurse recognize as a noncardiac risk factor for heart failure?
Correct Answer: C
Rationale: Hyperthyroidism is a noncardiac risk factor for heart failure because it can lead to increased heart rate, palpitations, and ultimately strain on the heart. When a person has hyperthyroidism, the thyroid gland produces too much thyroid hormone, which can impact the cardiovascular system by affecting heart function. This increased workload on the heart can contribute to the development of heart failure. It is important for the nurse to recognize hyperthyroidism as a potential risk factor for heart failure during the assessment of the client.
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