ATI RN
ATI Nurs 2000 Fundamentals Questions
Question 1 of 5
A nurse is conducting a class on stress. Which of the following would the nurse include as an example of acute stress?
Correct Answer: B
Rationale: The correct answer is B: Being a victim of a crime. Acute stress refers to a short-term stress response to a specific event. Being a victim of a crime is a sudden, intense event that can trigger acute stress. Poverty (choice
A) and dysfunctional family (choice
C) are more likely to cause chronic stress due to their ongoing nature. Experiencing racism (choice
D) can also lead to chronic stress, as it is a continuous form of discrimination. In summary, being a victim of a crime is the best example of acute stress due to its sudden and intense nature compared to the other choices.
Question 2 of 5
A nurse enters a hospice patient’s room to perform an assessment after receiving the morning report.The outgoing nurse reports that the patient is showing loss of appetite, swelling of the limbs, increased sleep, CheyneStokes respirations, and hallucinations.Which of the following indicates the nurse understands the report?
Correct Answer: D
Rationale: The correct answer is D: The nurse understands that these are impending signs of death and are normal. The rationale for this is that the patient is displaying classic end-of-life signs such as loss of appetite, swelling, increased sleep, Cheyne-Stokes respirations, and hallucinations. These signs collectively indicate that the patient is in the final stages of life. Understanding these signs as impending signs of death allows the nurse to provide appropriate care and support for the patient and their family during this sensitive time.
Other choices are incorrect because:
A: Beginning life-saving measures is not appropriate as the patient is in the end-of-life stage.
B: Calling the provider is not necessary as these signs are expected at the end-of-life.
C: Rapid and deep respirations are not curative but rather indicate the body's natural response to the dying process.
Question 3 of 5
The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump what is the rate that the nurse should enter?
Correct Answer: A
Rationale: The correct answer is A: 100 mL/hr.
To determine the rate, divide the total volume by the total time. In this case, 1000 mL divided by 10 hours equals 100 mL/hr.
Choice B is incorrect because it would be too fast.
Choice C is incorrect as it would be too slow.
Choice D is incorrect as it is not the correct calculation based on the given order.
Question 4 of 5
A nurse is caring for a patient who has cancer and is receiving palliative care. Which of the following statements by the patient indicates an understanding of this type of treatment?
Correct Answer: C
Rationale: The correct answer is C: "I am hoping this will limit my discomfort and give me the best quality of life for me." This statement reflects an understanding of palliative care, which focuses on symptom management, comfort, and improving quality of life rather than curing the underlying disease. It shows that the patient recognizes the goal of the treatment is to provide relief from pain and other distressing symptoms associated with cancer, rather than aiming for a cure or prolonging life.
Choice A is incorrect because palliative care does not aim to cure the disease or prolong life significantly.
Choice B is incorrect as it focuses on a strict dietary plan, which may not be the primary focus of palliative care.
Choice D is incorrect as it suggests the patient wants to stop treatment, which may not align with the goals of palliative care.
Question 5 of 5
A nurse is teaching a class about physiological changes to hearing in older adult patients. Which of the following should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Decreased ability to hear high-frequency sounds. As people age, the inner ear structures responsible for detecting high-frequency sounds tend to deteriorate, leading to a decreased ability to hear those sounds. This is known as presbycusis, a common age-related hearing loss. The other choices are incorrect because: A: The thickness of the tympanic membrane does not significantly change with age. B: Tinnitus is a perception of ringing or buzzing in the ears and can actually increase in older adults. D: Ear wax production tends to increase with age rather than decrease.