ATI RN
foundations of nursing practice questions Questions
Question 1 of 5
One aspect of the nurses comprehensive assessment when caring for the terminally ill is the assessment of hope. The nurse is assessing a patient with liver failure for the presence of hope. What would the nurse identify as a hope-fostering category?
Correct Answer: A
Rationale: The correct answer is A: Uplifting memories. When assessing hope in a terminally ill patient, identifying uplifting memories can foster hope by providing emotional support, positive experiences, and a sense of purpose. Memories can inspire optimism and comfort in difficult times.
B: Ignoring negative outcomes is incorrect as it does not address the patient's emotional needs or promote coping strategies.
C: Envisioning one specific outcome is incorrect because hope should encompass a range of possibilities, not just one specific outcome.
D: Avoiding an actual or potential threat is incorrect as it focuses on avoidance rather than on promoting positive emotions and psychological well-being.
Question 2 of 5
A patient has been admitted to the emergency department with signs of anaphylaxis following a bee sting. The nurse knows that if this is a true allergic reaction the patient will present with what alteration in laboratory values?
Correct Answer: A
Rationale: The correct answer is A: Increased eosinophils. Eosinophils are a type of white blood cell involved in allergic reactions. During anaphylaxis, the body releases chemicals that stimulate the production and activation of eosinophils, leading to an increase in their count. This helps in the identification of an allergic reaction.
Incorrect
Choices:
B: Increased neutrophils - Neutrophils are not specific to allergic reactions and are typically increased in bacterial infections.
C: Increased serum albumin - Serum albumin levels are not directly affected by allergic reactions.
D: Decreased blood glucose - Hypoglycemia is not a typical manifestation of an allergic reaction.
Question 3 of 5
In which situation would a dilation and curettage (D&C) be indicated?
Correct Answer: B
Rationale: The correct answer is B because an incomplete abortion at 16 weeks may require a D&C to remove remaining tissue to prevent infection and complications. Incomplete abortion means not all fetal tissue has been expelled, posing a risk.
Choice A (complete abortion at 8 weeks) does not require a D&C as all tissue is expelled.
Choice C (threatened abortion at 6 weeks) does not necessitate immediate intervention.
Choice D (incomplete abortion at 10 weeks) is not the best choice as the risk of complications increases with gestational age.
Question 4 of 5
In providing diabetic teaching for a patient with type 1 diabetes mellitus, which instructions will the nurse provide to the patient?
Correct Answer: B
Rationale: The correct answer is B: Saturated fat should be limited to less than 7% of total calories. This is because limiting saturated fat intake is crucial in managing type 1 diabetes to reduce the risk of cardiovascular diseases. Saturated fats can worsen insulin resistance and lead to complications.
Choice A is incorrect as diabetic management involves more than just insulin.
Choice C is incorrect because nonnutritive sweeteners should be used in moderation due to potential side effects.
Choice D is incorrect as individuals with diabetes should aim to keep cholesterol intake low to prevent heart problems.
Question 5 of 5
A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because infants typically triple their birth weight by 1 year of age due to rapid growth and development. This information is crucial for understanding normal growth patterns in infants.
Choice B is incorrect as picky eating behavior is common in toddlers but not a universal characteristic.
Choice C is incorrect as school-age children can consume hot dogs and grapes safely as long as they are cut into appropriate sizes to prevent choking hazards.
Choice D is incorrect as breastfeeding women actually need an additional 450-500 kcal/day, not 750 kcal/day.