ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Question 1 of 5
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs,which category should the nurse identify for the client's situation?
Correct Answer: A
Rationale: Safety is the second level of Maslow’s hierarchy of needs and it includes the needs for security stability protection and freedom from fear and anxiety. The couple who lost their house in a fire are likely experiencing a threat to their safety needs as they have lost their shelter possessions and sense of security. Higher-level needs like self-actualization esteem or love and belonging are secondary until safety is addressed.
Question 2 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 3 of 5
What is the main goal for the RN as a teacher?
Correct Answer: A
Rationale: This is the correct answer because the RN as a teacher aims to promote health literacy self-management and shared decision-making among patients and their families. By helping people to become empowered to take care of their health the RN can facilitate positive health outcomes and prevent complications. Explaining what nurses do is secondary to patient empowerment. Discharge instructions are a component of teaching not the main goal. Teaching treatments for quicker discharge focuses on hospital efficiency rather than long-term health empowerment.
Question 4 of 5
The RN has completed an assessment on a client. What should the nurse do next?
Correct Answer: C
Rationale: Analyzing cues is the next step after completing an assessment. Analysis is the process of identifying patterns relationships and trends in the assessment data and comparing them with the normal and expected findings. Analysis helps the nurse to identify the patient’s problems needs strengths and risks. Reassessment occurs later interventions and SMART goals follow diagnosis which requires analysis first.
Question 5 of 5
A client is 24 hours post-op after having a colon resection. His abdominal incision is dry and intact,but the nurse notes that bowel sounds have not returned. What condition is this client likely experiencing?
Correct Answer: A
Rationale: Paralytic ileus is a condition in which the intestinal motility is decreased or absent resulting in the inability to pass gas or stool. It is a common complication of abdominal surgery as the manipulation of the bowel can cause inflammation and nerve damage. Clostridium difficile colitis involves diarrhea not absent bowel sounds. Constipation and fecal impaction are related to opioid use or chronic issues not immediate post-op complications.