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ATI RN · Foundations of Nursing · foundation of nursing practice questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine, the patient states that her vision is blurred. Which nursing action is most appropriate?

A. Holding the next dose and notifying the physician
B. Treating the patient for an allergic reaction
C. Suggesting that the patient put on her glasses
D. Explaining that this is an expected adverse effect

Expert Explanatory Rationale

Correct Answer: Explaining that this is an expected adverse effect

Question 2 of 5

The nurse is caring for a patient with an advanced stage of breast cancer and the patient has recently learned that her cancer has metastasized. The nurse enters the room and finds the patient struggling to breath and the nurses rapid assessment reveals that the patients jugular veins are distended. The nurse should suspect the development of what oncologic emergency?

A. Increased intracranial pressure
B. Superior vena cava syndrome (SVCS)
C. Spinal cord compression
D. Metastatic tumor of the neck

Expert Explanatory Rationale

Correct Answer: Superior vena cava syndrome (SVCS)

Question 3 of 5

A patient has been discharged home after a total mastectomy without reconstruction. The patient lives alone and has a home health referral. When the home care nurse performs the first scheduled visit this patient, what should the nurse assess? Select all that apply.

A. Adherence to the exercise plan
B. Overall psychological functioning
C. Integrity of surgical drains
D. Understanding of cancer E) Use of the breast prosthesis

Expert Explanatory Rationale

Correct Answer: Overall psychological functioning

Question 4 of 5

A patient has a history of drug use and is screened for hepatitis B during the first trimester. Which action is most appropriate?

A. Practice respiratory isolation.
B. Plan for retesting during the third trimester.
C. Discuss the recommendation to bottle feed her baby.
D. Anticipate administering the vaccination for hepatitis B as soon as possible

Expert Explanatory Rationale

Correct Answer: Plan for retesting during the third trimester.

Question 5 of 5

A preceptor is working with a new nurse on documentation.Which situation will cause the preceptor to follow up?

A. The new nurse documents only for self.
B. The new nurse charts consecutively on every other line.
C. The new nurse ends each entry with signature and title.
D. The new nurse keeps the password secure.

Expert Explanatory Rationale

Correct Answer: The new nurse charts consecutively on every other line.

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