Transcultural Concepts in Nursing Care Test Bank

Questions 15

ATI RN

ATI RN Test Bank

Transcultural Concepts in Nursing Care Test Bank Questions

Question 1 of 5

The nurse is assessing muscle strength. What should the nurse ask the patient to do to assess facial muscle strength?

Correct Answer: A

Rationale: Asking the patient to clench their teeth is a common way to assess muscle strength in the face, particularly the muscles involved in the jaw. Clenching the teeth engages the muscles responsible for this action, such as the masseter muscle. Assessing the ability to clench the teeth provides insight into the strength and function of these facial muscles.

Question 2 of 5

The nurse identifies the diagnosis of Deficient Fluid Volume as appropriate for a patient with a nasogastric tube for gastric decompression. Which actions should the nurse perform to support this diagnosis? Select all that apply.

Correct Answer: A

Rationale: A. Measuring abdominal girth every 4 to 8 hours is important to monitor for signs of fluid accumulation in the abdominal cavity, indicating potential fluid volume deficit.

Question 3 of 5

The nurse monitors vital signs and laboratory values for a patient recovering from a total knee replacement. For which reason is the nurse implementing these actions?

Correct Answer: C

Rationale: The nurse is monitoring vital signs and laboratory values for the patient recovering from a total knee replacement to ensure adequate circulation to the involved extremity. After a total knee replacement surgery, there is a risk of developing complications such as deep vein thrombosis (DVT) or impaired circulation to the surgical site. Monitoring vital signs and laboratory values allows the nurse to assess for any signs of compromised circulation, which could indicate the development of complications requiring immediate intervention. By closely monitoring these parameters, the nurse can ensure that the patient's recovery is progressing smoothly and without any major complications impacting the circulation to the involved extremity.

Question 4 of 5

The nurse is assessing muscle strength. What should the nurse ask the patient to do to assess facial muscle strength?

Correct Answer: A

Rationale: Asking the patient to clench their teeth is a common way to assess muscle strength in the face, particularly the muscles involved in the jaw. Clenching the teeth engages the muscles responsible for this action, such as the masseter muscle. Assessing the ability to clench the teeth provides insight into the strength and function of these facial muscles.

Question 5 of 5

Which theory of learning holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations?

Correct Answer: A

Rationale: The theory of constructivism holds that knowledge acquisition is the ongoing assimilation and accommodation of new experiences and interpretations. This theory emphasizes that learners actively construct their knowledge and understanding of the world through their experiences and interactions. In constructivism, learning is seen as a process of building upon prior knowledge, rather than passively receiving information. Learners are encouraged to explore, question, and make sense of new information based on their existing beliefs and experiences. Therefore, the constructivist theory aligns with the idea that learning involves the assimilation and accommodation of new experiences and interpretations.

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