ATI RN
Nursing Process 1 Test Questions Questions
Question 1 of 5
A nurse is gathering information about a patients habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information?
Correct Answer: C
Rationale: The correct answer is C: Perform a thorough nursing health history. This method is the best for gathering information about a patient's habits and lifestyle patterns because it involves asking specific questions related to the patient's daily routines, habits, and lifestyle choices. By obtaining a comprehensive health history, the nurse can gather valuable information about the patient's diet, exercise habits, sleep patterns, stress levels, substance use, and other lifestyle factors that may impact their health. Reviewing lab results (
A) may provide some information but not specifically about habits and lifestyle. Conducting a physical assessment (
B) focuses more on the patient's physical condition rather than lifestyle. Prolonging the termination phase of the interview (
D) is not a method of data collection and does not focus on gathering information about habits and lifestyle patterns.
Question 2 of 5
A patient presents to the emergency department following a motor vehicle crash and suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the patient has no other major injuries, is in good health, and reports only moderate discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Acute pain. The patient's right femur fracture would likely cause significant pain. Treating the pain is a priority to ensure the patient's comfort and promote healing. Posttrauma syndrome (
A) is more applicable for patients experiencing emotional distress following a traumatic event. Constipation (
B) may be a concern due to immobility but is not as immediate as managing pain. Anxiety (
D) may be present but addressing the acute pain would likely alleviate some anxiety as well.
Question 3 of 5
A patient presents to the emergency department following a motor vehicle crash and suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the patient has no other major injuries, is in good health, and reports only moderate discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Acute pain. This is the most pertinent nursing diagnosis because the patient has a right femur fracture and reports moderate discomfort. The priority is to address the acute pain associated with the fracture. Posttrauma syndrome (
A) typically involves a broader range of emotional and psychological responses beyond just moderate discomfort. Constipation (
B) is not the priority in this case, as it is not directly related to the patient's current condition. Anxiety (
D) may be present but addressing the acute pain takes precedence in this situation to ensure the patient's comfort and well-being.
Question 4 of 5
A patient presents to the emergency department following a motor vehicle crash and suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the patient has no other major injuries, is in good health, and reports only moderate discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the plan of care?
Correct Answer: C
Rationale: The most pertinent nursing diagnosis for the patient with a right femur fracture stabilized in a full leg cast is "Acute pain" (
Choice
C). The rationale for this is as follows:
1. The patient is experiencing moderate discomfort due to the fracture and immobilization in the cast, indicating a need for pain management.
2. Acute pain is a priority in this situation as it can impact the patient's comfort, mobility, and overall recovery.
3. Managing pain effectively is crucial for promoting healing, preventing complications, and improving the patient's quality of life.
4. Posttrauma syndrome (
Choice
A) may be a consideration in the long term but is not the immediate priority. Constipation (
Choice
B) is not the most pertinent nursing diagnosis in this scenario. Anxiety (
Choice
D) may be present but addressing pain is more urgent and directly related to the patient's current condition.
Question 5 of 5
A patient presents to the emergency department following a motor vehicle crash and suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the patient has no other major injuries, is in good health, and reports only moderate discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the plan of care?
Correct Answer: C
Rationale: The most pertinent nursing diagnosis for this patient is acute pain (
Choice
C). This is because the patient's right femur fracture would likely cause significant pain and discomfort, which is a priority to address for optimal recovery and comfort. Managing pain effectively is crucial in promoting healing and preventing complications. Posttrauma syndrome (
Choice
A) is not as immediate a concern in this scenario. While constipation (
Choice
B) and anxiety (
Choice
D) are important considerations, addressing acute pain takes precedence in the initial plan of care to ensure the patient's comfort and well-being.