Concept Based Nursing Practice Questions

Questions 15

ATI RN

ATI RN Test Bank

Concept Based Nursing Practice Questions Questions

Question 1 of 5

The nurse is caring for an adult client who has been diagnosed with high cholesterol. Which is important for the nurse to consider when teaching this adult client?

Correct Answer: A

Rationale: When teaching an adult client with high cholesterol, it is important for the nurse to consider that adults are more oriented to learning when the material is useful immediately. This means that providing practical information and emphasizing how managing high cholesterol can benefit their health in the short term is likely to be more effective in engaging the client and encouraging adherence to recommendations. By focusing on the immediate relevance and benefits of the information, the nurse can enhance the client's motivation and understanding of the importance of managing their high cholesterol levels.

Question 2 of 5

A patient has heard of several friends being diagnosed with colon cancer and does not want to develop the same health problem. What should the nurse recommend to this patient? Select all that apply.

Correct Answer: A

Rationale: A. Regular exercise has been shown to reduce the risk of developing colon cancer. Exercise helps in maintaining a healthy weight, supporting the immune system, and promoting overall health.

Question 3 of 5

A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Impaired Gas Exchange. Which action is appropriate when providing care based on this nursing diagnosis?

Correct Answer: B

Rationale: Monitoring the client's oxygen saturation intermittently is the most appropriate action when providing care for a client with disseminated intravascular coagulation (DIC) who has a nursing diagnosis of Impaired Gas Exchange. DIC can lead to a variety of complications, including inadequate oxygenation of tissues due to abnormal clotting and bleeding. By monitoring the client's oxygen saturation levels, the healthcare team can assess the effectiveness of gas exchange and adjust interventions as needed to optimize oxygenation. This action helps in early detection of worsening gas exchange and guides appropriate interventions to address any respiratory issues promptly. Placing the client in a low-Fowler position may not be suitable for all patients with DIC, encouraging frequent ambulation could be risky due to the increased bleeding tendency, and using continuous endotracheal suctioning is not recommended as it can lead to aggravation of respiratory issues and increase the risk of further complications.

Question 4 of 5

A client has a blood pressure of 142/92 mmHg. Which classification is appropriate for the nurse to use when documenting this data?

Correct Answer: D

Rationale: A blood pressure reading of 142/92 mmHg falls into the category of Hypertension Stage II based on the guidelines from the American Heart Association. In this classification, systolic blood pressure is 140-159 mmHg and diastolic blood pressure is 90-99 mmHg. Stage II hypertension indicates that the individual has a significantly elevated blood pressure level that requires prompt management and monitoring. It is crucial for the nurse to document this accurately to ensure appropriate interventions are provided to the client.

Question 5 of 5

Which assessment findings support the nurse's concern that a client is experiencing hypovolemic shock? Select all that apply.

Correct Answer: A

Rationale: A. A slight increase in pulse is a common finding in hypovolemic shock. The body compensates for the decreased blood volume by increasing the heart rate to maintain adequate perfusion.

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