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ATI RN · Foundations of Nursing · foundations of nursing test bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for HSCT. What is a priority nursing diagnosis for this patient?

A. Fatigue related to altered metabolic processes
B. Altered nutrition: less than body requirements related to anorexia
C. Risk for infection related to altered immunologic response
D. Body image disturbance related to weight loss and anorexia

Expert Explanatory Rationale

Correct Answer: Risk for infection related to altered immunologic response

Question 2 of 5

A patient has just been diagnosed with breast cancer and the nurse is performing a patient interview. In assessing this patients ability to cope with this diagnosis, what would be an appropriate question for the nurse to ask this patient?

A. What is your level of education?
B. Are you feeling alright these days?
C. Is there someone you trust to help you make treatment choices?
D. Are you concerned about receiving this diagnosis?

Expert Explanatory Rationale

Correct Answer: Is there someone you trust to help you make treatment choices?

Question 3 of 5

The nurse is caring for a patient diagnosed with Parkinsons disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination?

A. Use of a bedpan
B. Use of a raised toilet seat
C. Sitting quietly on the toilet every 2 hours
D. Following the outlined bowel program

Expert Explanatory Rationale

Correct Answer: Use of a raised toilet seat

Question 4 of 5

A patient, diagnosed with cancer of the lung, has just been told he has metastases to the brain. What change in health status would the nurse attribute to the patients metastatic brain disease?

A. Chronic pain
B. Respiratory distress
C. Fixed pupils
D. Personality changes

Expert Explanatory Rationale

Correct Answer: Personality changes

Question 5 of 5

Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is

A. varied depending on the stage of gestation.
B. increased throughout pregnancy and the postpartum period.
C. decreased throughout pregnancy and the postpartum period.
D. should not change because the fetus produces its own insulin.

Expert Explanatory Rationale

Correct Answer: varied depending on the stage of gestation.

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