ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Question 1 of 5
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon assessment,the nurse notes crackles shortness of breath and jugular vein distention. Based on this data which complication of IV fluid therapy does the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume excess. The signs and symptoms of crackles, shortness of breath, and jugular vein distention indicate fluid overload. The IV rate of 150 mL/hr is likely too high for the older adult, leading to excessive fluid administration. Crackles indicate fluid in the lungs, shortness of breath suggests pulmonary congestion due to fluid accumulation, and jugular vein distention signifies increased venous pressure from fluid overload. Fluid volume deficit (
A) would present with different signs such as hypotension and tachycardia. Speed shock (
C) is a rapid reaction to IV medication, not fluid overload. Pulmonary embolism (
D) would present with chest pain, dyspnea, and tachycardia, not the specific signs seen in this case.
Question 2 of 5
What is the main goal for the RN as a teacher?
Correct Answer: A
Rationale: The main goal for the RN as a teacher is to help people become empowered to take care of their health. This is the correct answer because empowering individuals to manage their health leads to better outcomes and promotes self-care. It enables patients to make informed decisions and take control of their well-being. Providing education and support empowers individuals to make healthy choices and prevent illness.
Summary of other choices:
B: Helping patients understand what nurses do is important but not the main goal of teaching as an RN.
C: Giving discharge instructions is a task but doesn't encompass the holistic goal of empowering patients.
D: Teaching patients to expedite hospital discharge is not the primary focus of patient education and may compromise quality care.
Question 3 of 5
Which of the following clients has a modifiable risk factor for osteoporosis?
Correct Answer: C
Rationale: The correct answer is C: Juanita, who smokes two packs of cigarettes a day. Smoking is a modifiable risk factor for osteoporosis because it can lead to decreased bone density and increased risk of fractures. Smoking affects the body's ability to absorb calcium, a key mineral for bone health. Regular exercise, like in choice A, actually helps improve bone density and reduces the risk of osteoporosis. Family history of osteoporosis, as in choice B, is a non-modifiable risk factor. Being postmenopausal at age 40, as in choice D, is also non-modifiable and may increase the risk of osteoporosis due to hormonal changes.
Question 4 of 5
Which statement suggests that the RN understands delegation in the concept of time management?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates understanding of delegation in time management by involving appropriate team members in task allocation. This approach acknowledges the importance of shared responsibilities to efficiently manage time.
Choice B reflects poor time management by relying on overtime, which can lead to burnout.
Choice C focuses on verification rather than delegation.
Choice D implies a rigid approach that may not consider delegation.
Question 5 of 5
The RN asks the client to demonstrate proper use of his inhaler. This is an example of which domain of learning?
Correct Answer: C
Rationale: The correct answer is C: Psychomotor. Psychomotor domain involves physical skills and coordination. Demonstrating proper use of an inhaler requires the client to perform a specific physical action, indicating psychomotor learning.
Choice A (Cognitive) focuses on knowledge and understanding, not physical skills.
Choice B (Affective) pertains to emotions and attitudes, not physical actions.
Choice D (Kinesthetic) is similar to psychomotor, but kinesthetic learning emphasizes movement and sensations, not necessarily specific physical skills like using an inhaler.