foundations of nursing test bank

Questions 100

ATI RN

ATI RN Test Bank

foundations of nursing test bank Questions

Question 1 of 5

An oncology patient has begun to experience skin reactions to radiation therapy, prompting the nurse to make the diagnosis Impaired Skin Integrity: erythematous reaction to radiation therapy. What intervention best addresses this nursing diagnosis?

Correct Answer: D

Rationale: Correct Answer: D - Avoid rubbing or scratching the affected area Rationale: 1. Rubbing or scratching can further damage the already compromised skin integrity. 2. By avoiding rubbing or scratching, the patient reduces the risk of infection and delayed healing. 3. This intervention promotes skin healing and prevents worsening of the condition. Summary: A: Applying ice pack or heating pad may provide temporary relief but does not address the root cause of impaired skin integrity. B: Avoiding skin contact with water is not necessary and may not directly improve skin integrity. C: Phototherapy is not indicated for erythematous reactions to radiation therapy and may not address the issue.

Question 2 of 5

A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized in the body. Which term used by the patient indicates teaching is successful?

Correct Answer: D

Rationale: Rationale: 1. Indispensable amino acids, also known as essential amino acids, must be obtained through the diet as the body cannot synthesize them. 2. Amino acids are the building blocks of proteins, so mentioning "indispensable amino acids" indicates understanding of essential dietary proteins. 3. Triglycerides are fats, not proteins, and not related to essential amino acids. 4. Dispensable amino acids can be synthesized by the body, so mentioning them would not indicate understanding of essential proteins.

Question 3 of 5

A patient with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the patient about this treatment?

Correct Answer: B

Rationale: Step 1: Immunotherapy injections can cause allergic reactions. Step 2: Monitoring post-injection is crucial to detect and manage any potential adverse reactions promptly. Step 3: Staying in the clinic for 30 minutes allows for immediate intervention if needed. Step 4: This ensures patient safety and reduces the risk of severe reactions. Summary: A: Epinephrine is not typically given before immunotherapy injections. C: Therapeutic response may take longer than 3 months to show. D: Immunotherapy is usually given via subcutaneous route, not intravenous.

Question 4 of 5

During discharge teaching the nurse realizes that the patient is not able to read medication bottles accurately and has not been taking her medications consistently at home. How should the nurse intervene most appropriately in this situation?

Correct Answer: D

Rationale: The correct answer is D. The nurse should arrange for a referral to a rehabilitation facility for vision training. This option directly addresses the patient's inability to read medication bottles accurately due to a vision problem. Vision training can help improve the patient's ability to manage medication independently. A: Asking the social worker to investigate alternative housing arrangements is not relevant to the patient's vision problem affecting medication management. B: Asking the social worker to investigate community support agencies may not directly address the patient's vision issue and medication management. C: Encouraging the patient to explore surgical corrections for the vision problem is not appropriate without considering less invasive options first, such as vision training.

Question 5 of 5

A nurse is teaching a patient about the urinarysystem. In which order will the nurse present the structures, following the flow of urine?

Correct Answer: B

Rationale: The correct order is B: Kidney, ureters, bladder, urethra. 1. Kidneys filter blood and produce urine. 2. Ureters transport urine from kidneys to bladder. 3. Bladder stores urine until expelled. 4. Urethra carries urine from bladder out of the body. Other choices are incorrect because they do not follow the anatomical flow of urine through the urinary system.

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