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ATI RN · Concepts in Nursing · Concepts for Nursing Practice Giddens Test Bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?

A. The client may be unable to read the instructions.
B. The client already knows the information.
C. The client does not want the written information.
D. The client is ready to learn.

Expert Explanatory Rationale

Correct Answer: The client may be unable to read the instructions.

Question 2 of 5

Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these clients about their medication, how should the nurse individualize care for each?

A. The younger client will need more frequent monitoring than the older client.
B. The older client will need more frequent monitoring than the younger client.
C. The older client will take a lower dose than the younger client.
D. The younger client will take a lower dose than the older client.

Expert Explanatory Rationale

Correct Answer: The younger client will need more frequent monitoring than the older client.

Question 3 of 5

A nurse working in the intensive care unit (ICU) is caring for a client in progressive hemorrhagic shock. What does the nurse understand about the physiology of progressive shock?

A. It involves a sustained decrease of 10 mmHg of the client's mean arterial pressure (MAP).
B. It involves a blood loss of 25%.
C. It involves a change from aerobic to anaerobic metabolism.
D. It involves a decrease in hydrostatic pressure within the capillary, shifting fluid into the interstitial space.

Expert Explanatory Rationale

Correct Answer: It involves a change from aerobic to anaerobic metabolism.

Question 4 of 5

A nurse caring for a client in the in the intensive care unit (ICU) notes that the client is experiencing a ventricular tachycardia dysrhythmia. Which rhythm is a type of ventricular tachycardia?

A. Sinus tachycardia
B. Atrial flutter
C. Junctional escape
D. Torsades de Pointes

Expert Explanatory Rationale

Correct Answer: Torsades de Pointes

Question 5 of 5

The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?

A. Treatment for vitamin D deficiency
B. Surgery for ruptured appendix 1-year prior
C. Fibrocystic breast disease
D. Obesity

Expert Explanatory Rationale

Correct Answer: Obesity

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