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ATI RN · Nursing Process · Nursing Process Exam Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has taught a patient with thrombocytopenia how to prevent bleeding. Which of the ff. is the best evidence that the teaching has been effective?

A. The patient states that he will be careful to avoid injury.
B. The patient can list signs and symptoms of bleeding.
C. The patient uses an electric razor instead of his safety razor.
D. The patient states when he should call the doctor.

Expert Explanatory Rationale

Correct Answer: The patient uses an electric razor instead of his safety razor.

Question 2 of 5

A client in the terminal stage of cancer is receiving continuous infusion of morphine (Duramorph) for pain management. Which assessment finding suggests that the client is experiencing an adverse effect of this drug?

A. Voiding of 350mL of concentrated urine in
B. Irregular heart rate of 82 beats/min
C. Pupils constricted and equal
D. Respiratory rate of 8breaths/min

Expert Explanatory Rationale

Correct Answer: Respiratory rate of 8breaths/min

Question 3 of 5

A client has malignant lymphoma. As part of her chemotherapy, the physician prescribes chlorambucil (Leukeran), 10mg by mouth daily. When caring for the client, the nurse teaches her about adverse reactions to chlorambucil, such as alopecia. How soon after the first administration of chorambucil might this reaction occur?

A. Immediately
B. 2 to 3 weeks
C. 1 week
D. 1 month

Expert Explanatory Rationale

Correct Answer: 2 to 3 weeks

Question 4 of 5

Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following?

A. Muscle weakness
B. Diaphoresis
C. Tremors
D. Constipation

Expert Explanatory Rationale

Correct Answer: Muscle weakness

Question 5 of 5

The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. Which action will the nurse take just before changing the dressing?

A. Gathers and organizes needed supplies
B. Decides on goals and outcomes for the patient
C. Assesses the patient's readiness for the procedure
D. Calls for assistance from another nursing staff member

Expert Explanatory Rationale

Correct Answer: Gathers and organizes needed supplies

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