ATI RN
test bank foundations of nursing Questions
Question 1 of 5
A patient has presented for her annual mammogram. The patient voices concerns related to exposure to radiation. What should the nurse teach the patient about a mammogram?
Correct Answer: A
Rationale: Step 1: Mammograms use low-dose X-rays to create images of the breast tissue. Step 2: The radiation exposure in a mammogram is minimal and considered safe. Step 3: Choice A is correct as it states that mammograms do not use radiation, which is accurate. Step 4: Other choices are incorrect because B wrongly implies that annual mammograms are safe due to low radiation levels, C is incorrect as radiation effects can accumulate over time, and D is incorrect as the amount of radiation in a mammogram is much lower than an hour of sunlight.
Question 2 of 5
A patient is postoperative day 6 following tympanoplasty and mastoidectomy. The patient has phoned the surgical unit and states that she is experiencing occasional sharp, shooting pains in her affected ear. How should the nurse best interpret this patients complaint?
Correct Answer: A
Rationale: The correct answer is A. Postoperative day 6 following tympanoplasty and mastoidectomy is still within the early phase of recovery, where occasional sharp, shooting pains in the affected ear can be expected due to the healing process. Here's a step-by-step rationale: 1. Timing: It is only day 6 post-surgery, so it is normal to experience some pain as part of the healing process. 2. Nature of pain: Sharp, shooting pains are common post-surgery due to tissue healing and nerve regeneration. 3. Lack of other symptoms: The patient did not report any other concerning symptoms like fever or discharge, which would be more indicative of an infection. 4. Unlikely complications: Spontaneous rupture of the tympanic membrane or unsuccessful surgery would typically present with more severe and consistent symptoms. Summary: - B: Unlikely as there are no other signs of infection. - C: Unlikely as the pain is described as occasional and sharp. - D:
Question 3 of 5
A nurse is caring for a patient with a postsurgical wound. When planning care, which goal will be the priority?
Correct Answer: C
Rationale: The correct answer is C: Promote positive nitrogen balance. In a postsurgical patient, promoting positive nitrogen balance is crucial for wound healing and tissue repair. This goal helps prevent muscle wasting and promotes overall recovery. A: Reduce dependent nitrogen balance is incorrect as it does not address the need for positive nitrogen balance in wound healing. B: Maintain negative nitrogen balance is incorrect because negative nitrogen balance indicates a loss of protein stores, which is detrimental for healing. D: Facilitate neutral nitrogen balance is incorrect as it does not actively support the increased protein needs for wound repair.
Question 4 of 5
A patient with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a
Correct Answer: C
Rationale: The correct answer is C: anticonvulsant. Magnesium sulfate is used in the treatment of preeclampsia to prevent seizures, making it an anticonvulsant. It works by reducing neuromuscular excitability and stabilizing nerve cell membranes. Choice A (diuretic) is incorrect because magnesium sulfate does not primarily promote diuresis. Choice B (tocolytic) is incorrect as it does not inhibit uterine contractions. Choice D (antihypertensive) is incorrect because although magnesium sulfate can help lower blood pressure in preeclampsia, its primary indication in this case is for seizure prophylaxis.
Question 5 of 5
A public health nurse is teaching a health class for the male students at the local high school. The nurse is teaching the boys to perform monthly testicular self-examinations. What point would be appropriate to emphasize?
Correct Answer: A
Rationale: The correct answer is A: Testicular cancer is a highly curable type of cancer. This is the most appropriate point to emphasize because early detection through regular self-examinations can lead to early treatment and a high survival rate. Testicular cancer has a very high cure rate, especially when detected and treated early. Emphasizing this point encourages boys to perform monthly self-exams, leading to early detection and better outcomes. Explanation of other choices: B: Testicular cancer is very difficult to diagnose - This is incorrect because testicular cancer is actually one of the more easily detectable cancers through self-examinations. C: Testicular cancer is the number one cause of cancer deaths in males - This is incorrect as testicular cancer is not the leading cause of cancer deaths in males. D: Testicular cancer is more common in older men - This is incorrect as testicular cancer is more common in younger men, typically between the ages of 15 and 44.
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