ATI RN
Giddens Concepts for Nursing Practice Test Bank Questions
Question 1 of 5
The nurse is caring for a patient recovering from a below-the-knee amputation. What should be included in this patient�s plan of care? Select all that apply.
Correct Answer: A
Rationale: A. Elevate the stump: Elevation of the stump helps to reduce swelling and improve blood circulation, aiding in the healing process after the amputation.
Question 2 of 5
The nurse is preparing to discharge a client recovering from a pulmonary embolism (PE). Which topics should the nurse to include in the teaching session? Select all that apply.
Correct Answer: A
Rationale: A. Limit the use of over-the-counter medications: This is important because some over-the-counter medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin, can increase the risk of bleeding in individuals taking anticoagulants for the treatment of pulmonary embolism.
Question 3 of 5
A community health nurse is providing education to a group of adults regarding myocardial infarction (MI). When discussing ways to prevent the number of MI-related deaths, which statement by the nurse is inappropriate?
Correct Answer: B
Rationale: While taking a baby aspirin daily can be beneficial for some individuals at increased risk of heart attacks or strokes, it is not a general recommendation for everyone to prevent myocardial infarction (MI). There are potential risks associated with aspirin use, such as gastrointestinal bleeding, which could outweigh the benefits for individuals at low risk of a heart attack. It is important for individuals to consult with their healthcare provider before starting any regimen of daily aspirin therapy. The other statements (A, C, D) focus on increasing awareness, knowledge, and prompt action in response to a suspected MI, which are appropriate measures for prevention and improving outcomes.
Question 4 of 5
A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
Correct Answer: A
Rationale: 1. Pulses absent in the extremity with the wound (Option A): In chronic venous insufficiency, damaged valves in the veins result in blood pooling in the lower extremities. This can lead to decreased arterial perfusion and impaired circulation, causing weakened or absent pulses in the affected extremity.
Question 5 of 5
Which nursing intervention related to perfusion can be performed independently?
Correct Answer: C
Rationale: Teaching relaxation techniques related to perfusion can be independently performed by a nurse without requiring supervision or intervention from a healthcare provider. This nursing intervention focuses on promoting stress reduction and improving overall perfusion by enhancing circulation and decreasing the workload of the heart. The nurse can educate the patient on various relaxation techniques such as deep breathing exercises, guided imagery, progressive muscle relaxation, and meditation to help optimize perfusion levels. Additionally, teaching relaxation techniques empowers the patient to actively participate in their care and improve their overall well-being.
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