ATI RN
Nursing Process Quizlet Questions Questions
Question 1 of 5
Which of the ff is the main reason why older clients with AIDS need more care than their younger counterparts?
Correct Answer: C
Rationale: The correct answer is C because older clients with AIDS have a faster progression of the disease due to age-related changes in the immune system, making them more vulnerable to complications. This results in a greater need for care compared to younger counterparts.
Choice A is incorrect as lack of balanced diet and activity does not directly relate to the progression of AIDS.
Choice B is incorrect as knowledge about disorders is not the main factor affecting the level of care needed.
Choice D is incorrect as adherence to therapy is important but not the main reason older clients need more care.
Question 2 of 5
Which action should the nurse take first during the initial phase of implementation?
Correct Answer: D
Rationale: The correct answer is D: Reassess the patient. During the initial phase of implementation, the nurse should first reassess the patient to gather current data and evaluate the effectiveness of previous interventions. This step ensures that the nurse has updated information to make informed decisions about the patient's care. A: Determining patient outcomes and goals should come after reassessment. B: Prioritizing nursing diagnoses is important but should be based on current assessment data. C: Evaluating interventions should be done after implementing them and giving them time to take effect.
Question 3 of 5
Which of the ff blood vessel is commonly affected by thrombophlebitis?
Correct Answer: C
Rationale: The correct answer is C, veins deep in the lower extremities, due to stasis and immobility in the legs causing blood to pool and predispose to thrombus formation. This is known as deep vein thrombosis (DVT). Veins deep in the upper extremities (
A) are less commonly affected. The popliteal vein of the leg (
B) is a common site for DVT, but it is not the most commonly affected. Veins connected to the heart (
D) are arteries, not veins, and are not typically involved in thrombophlebitis.
Question 4 of 5
A nurse performing triage in an emergency room makes assessments of clients using critical thinking skills. Which of the following are critical thinking activities linked to assessment?
Correct Answer: D
Rationale: The correct answer is D because interviewing a client suspected of being a victim of abuse involves critical thinking in assessment by gathering relevant information, analyzing the situation, and making informed decisions. This activity helps identify potential risks and ensures the client's safety. On the other hand, options A and C involve implementing orders and diagnosing conditions, respectively, which are more related to clinical decision-making rather than assessment. Option B focuses on education, which is not directly linked to assessment activities.
Question 5 of 5
A client has an external fixation device on his leg due to a compound fracture. The client says that the device and swelling make his leg look ugly. Which nursing diagnosis should the nurse document in his care plan based on the client’s concern?
Correct Answer: B
Rationale: The correct answer is B: Disturbed body image. The client's concern about the external fixation device making his leg look ugly indicates a disturbance in his perception of his own body image. This diagnosis focuses on the client's feelings and emotions related to his appearance, which can impact his self-esteem and psychological well-being.
Rationale:
1. Impaired physical mobility (
A) is not the most appropriate diagnosis in this scenario as the client's concern is related to the appearance of his leg, not his ability to move.
2. Risk for infection (
C) is not the best choice because the client's concern is not directly related to the risk of infection but rather to the aesthetic aspect of his leg.
3. Risk for social isolation (
D) is not the most suitable diagnosis as the client's concern is more about his own perception of his appearance rather than the potential impact on his social interactions.