TEST BANK
ATI RN FUNDAMENTALS By PROF
LEAN WILLIAMS
,. If a patient develops cor pulmonale (right-sided heart failure), the nurse
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.3.
peripheral edema and anorexia.
4. twitching of extremities. ANSWER>>>3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a patient with Alzheimer's requiring assistance with feeding.
2. a patient with osteoporosis complaining of burning on urination.3.
a patient with scleroderma receiving a tube feeding.
4. a patient with cancer who has Cheyne-Stokes respirations. ANSWER>>>1
A 23-year-old man is admitted with a subdural hematoma and cerebral edema
after a motorcycle accident. Which of the following symptoms shouldthe nurse
expect to see INITIALLY?
1. Unequal and dilated pupils.2.
Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. ANSWER>>>4
,A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.
Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The patient's urine test is positive for glucose and acetone.
2. The patient has 1+ pedal edema in both feet at the end of the day.3.
The patient complains of an increase in vaginal discharge.
4. The patient says she feels pressure against her diaphragm when the baby moves. ANSWER>>>1
A 38-year-old woman is returned to her room after a subtotal thyroidectomy for
treatment of hyperthyroidism. Which of the following, iffound by the nurse at
the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration. 3.
Tracheostomy set-up.
4. Suction equipment. ANSWER>>>1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST? 1. "You
are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." ANSWER>>>3
, A 69-year-old patient is undergoing his second exchange of intermittent
peritoneal dialysis (IPD). Which of the following would require an
intervention by the nurse?
ATI RN FUNDAMENTALS By PROF
LEAN WILLIAMS
,. If a patient develops cor pulmonale (right-sided heart failure), the nurse
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.3.
peripheral edema and anorexia.
4. twitching of extremities. ANSWER>>>3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a patient with Alzheimer's requiring assistance with feeding.
2. a patient with osteoporosis complaining of burning on urination.3.
a patient with scleroderma receiving a tube feeding.
4. a patient with cancer who has Cheyne-Stokes respirations. ANSWER>>>1
A 23-year-old man is admitted with a subdural hematoma and cerebral edema
after a motorcycle accident. Which of the following symptoms shouldthe nurse
expect to see INITIALLY?
1. Unequal and dilated pupils.2.
Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. ANSWER>>>4
,A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.
Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The patient's urine test is positive for glucose and acetone.
2. The patient has 1+ pedal edema in both feet at the end of the day.3.
The patient complains of an increase in vaginal discharge.
4. The patient says she feels pressure against her diaphragm when the baby moves. ANSWER>>>1
A 38-year-old woman is returned to her room after a subtotal thyroidectomy for
treatment of hyperthyroidism. Which of the following, iffound by the nurse at
the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration. 3.
Tracheostomy set-up.
4. Suction equipment. ANSWER>>>1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST? 1. "You
are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." ANSWER>>>3
, A 69-year-old patient is undergoing his second exchange of intermittent
peritoneal dialysis (IPD). Which of the following would require an
intervention by the nurse?
