Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked.
The client asks the nurse to explain the laboratory test.
Which of the following is an appropriate response by the nurse?
A. "This test will indicate if you are at risk for developing blood clots."
Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.
B. "This test will determine if your heart is performing properly."
Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.
C. "This test will provide information about the function of your liver."
“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver. Elevated levels of ALT can indicate liver damage or disease.
D. "This test is used to check how your kidneys are working.".
Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Fundamentals 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver.
Elevated levels of ALT can indicate liver damage or disease.
Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.
Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.
Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.
Similar Questions
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift.
Which of the following tasks should the nurse assign to an assistive personnel?
A. Showing a client how to use an incentive spirometer prior to surgery.
Choice A is wrong because showing a client how to use an incentive spirometer prior to surgery requires more specialized knowledge and training.
B. Assisting with ambulation for a client who has a pulmonary infection.
Assisting with ambulation for a client who has a pulmonary infection. Assistive personnel can perform basic nursing care functions such as assisting patients with mobility.
C. Irrigating a client's infected surgical wound.
Choice C is wrong because irrigating a client’s infected surgical wound is a more complex medical procedure that should be performed by a licensed nurse.
D. Inserting a glycerin suppository for a client who is constipated.
Choice D is wrong because inserting a glycerin suppository for a client who is constipated is also a more complex medical procedure that should be performed by a licensed nurse.
Full Explanation
Assisting with ambulation for a client who has a pulmonary infection.
Assistive personnel can perform basic nursing care functions such as assisting patients with mobility.
Choice A is wrong because showing a client how to use an incentive spirometer prior to surgery requires more specialized knowledge and training.
Choice C is wrong because irrigating a client’s infected surgical wound is a more complex medical procedure that should be performed by a licensed nurse.
Choice D is wrong because inserting a glycerin suppository for a client who is constipated is also a more complex medical procedure that should be performed by a licensed nurse.
A nurse is teaching a client how to self-administer daily low-dose heparin injections.
Which of the following factors is most likely to increase the client's motivation to learn?
A. The client's belief that his needs will be met through education.
According to self-efficacy theory, learning develops from multiple sources, including perceptions of one’s past performance, vicarious experiences, performance feedback, affective/physiological states, and social influences.
B. The nurse explains the need for education to the client.
Choice B is wrong because simply explaining the need for education to the client may not necessarily increase their motivation to learn.
C. The client seeking family approval by agreeing to a teaching plan.
Choice C is wrong because seeking family approval by agreeing to a teaching plan may not necessarily increase the client’s motivation to learn.
D. The nurse's empathy about the client having to self-inject.
Choice D is wrong because the nurse’s empathy about the client having to self-inject may not necessarily increase their motivation to learn.
Full Explanation
According to self-efficacy theory, learning develops from multiple sources, including perceptions of one’s past performance, vicarious experiences, performance feedback, affective/physiological states, and social influences.
Choice B is wrong because simply explaining the need for education to the client may not necessarily increase their motivation to learn.
Choice C is wrong because seeking family approval by agreeing to a teaching plan may not necessarily increase the client’s motivation to learn.
Choice D is wrong because the nurse’s empathy about the client having to self-inject may not necessarily increase their motivation to learn.
A nurse is preparing to insert an IV catheter for a client following a right mastectomy.
Which of the following veins should the nurse select when initiating IV therapy?
A. The cephalic vein on the back of the right hand.
Choice A is wrong because it involves placing the IV catheter on the same side as the mastectomy.
B. The cephalic vein in the left distal forearm.
It is recommended that IVs are placed in the arm on the opposite side of your surgery, if possible.
C. The basilic vein in the right antecubital fossa.
Choice C is wrong because it involves placing the IV catheter on the same side as the mastectomy.
D. The radial vein on the left wrist.
Choice D is wrong because it involves placing the IV catheter on a vein that is not commonly used for IV therapy.
Full Explanation
It is recommended that IVs are placed in the arm on the opposite side of your surgery, if possible.
Choice A is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice C is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice D is wrong because it involves placing the IV catheter on a vein that is not commonly used for IV therapy.