Concepts for Nursing Practice Test Bank

Questions 14

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Concepts for Nursing Practice Test Bank Questions

Question 1 of 5

The nurse is conducting a health history with a patient that focuses on the endocrine system. Which question should the nurse include in this assessment?

Correct Answer: B

Rationale: The nurse should include the question "Have you noticed a change in your thirst?" in the health history focusing on the endocrine system because changes in thirst can be indicative of conditions such as diabetes insipidus or diabetes mellitus that affect the endocrine system. Thirst can be altered due to changes in hormone levels, particularly those related to water balance and blood sugar regulation. Monitoring changes in thirst can provide important information about potential endocrine imbalances in the body. Asking about changes in thirst is relevant to assessing the patient's endocrine health in this context.

Question 2 of 5

The mother of a baby born with a congenital heart defect is upset, as no one else in the family has been born with this condition. To determine the cause of the defect, which question is appropriate for the nurse to ask the mother?

Correct Answer: A

Rationale: The appropriate question for the nurse to ask the mother in this scenario is "Did you consume any alcohol before you knew you were pregnant?" This is because maternal alcohol consumption during pregnancy is a known risk factor for congenital heart defects. By asking this question, the nurse can gather crucial information to determine a potential cause for the baby's condition. It is important to address this potential risk factor to provide appropriate care and support to the mother and baby.

Question 3 of 5

The nurse is conducting a health history with a patient that focuses on the endocrine system. Which question should the nurse include in this assessment?

Correct Answer: B

Rationale: The nurse should include the question "Have you noticed a change in your thirst?" in the health history focusing on the endocrine system because changes in thirst can be indicative of conditions such as diabetes insipidus or diabetes mellitus that affect the endocrine system. Thirst can be altered due to changes in hormone levels, particularly those related to water balance and blood sugar regulation. Monitoring changes in thirst can provide important information about potential endocrine imbalances in the body. Asking about changes in thirst is relevant to assessing the patient's endocrine health in this context.

Question 4 of 5

A client is admitted to the intensive care unit with disseminated intravascular coagulation (DIC). Which clinical manifestations does the nurse anticipate? Select all that apply.

Correct Answer: A

Rationale: 1. Tachycardia: Disseminated intravascular coagulation (DIC) can lead to widespread clotting within the blood vessels, which can result in tissue ischemia and subsequent compensatory mechanisms such as tachycardia to increase cardiac output and maintain perfusion.

Question 5 of 5

The nurse is preparing to conduct a cardiac assessment for a pediatric client. Which location will the nurse use when auscultating the apical pulse?

Correct Answer: A

Rationale: When auscultating the apical pulse in pediatric clients, the nurse should place the stethoscope at the fifth intercostal space at the midclavicular line. This location is where the apex of the heart is located in pediatric clients and provides the most accurate assessment of the apical pulse. Placing the stethoscope at the left nipple (B) or right nipple (C) would not provide an accurate assessment of the apical pulse location. Auscultating at the eighth intercostal space (D) would be too low and not capture the apical pulse accurately.

Similar Questions

The nurse is preparing to conduct a cardiac assessment for a pediatric client. Which location will the nurse use when auscultating the apical pulse?
A nurse working in the emergency department is participating in the resuscitation of a client experiencing sudden cardiac death. After five cycles of CPR, the nurse evaluates the client's cardiac rhythm as asystole. What is the next action by the nurse?
The nurse is evaluating the teaching provided to a patient with acute glomerulonephritis. Which patient action indicates that additional teaching is not necessary?
The nurse is performing an assessment of a client. Which should the nurse recognize as a noncardiac risk factor for heart failure?
A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?

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