ATI RN
ATI Nurs 2000 Fundamentals Questions
Question 1 of 5
A nurse is educating a newly licensed nurse about informed consent. Which of the following should be included as a nurse's responsibility in this process?
Correct Answer: B
Rationale: The correct answer is B: Confirm that the client is competent to sign for the procedure. This is crucial in the informed consent process to ensure the client fully understands the implications of their decision. It is the nurse's responsibility to assess the client's capacity to make an informed decision.
Choice A is incorrect as it pertains to the physician's role in discussing alternatives.
Choice C is incorrect as it focuses on the physician's responsibility to discuss risks.
Choice D is incorrect as it is the physician's role to inform the client about the procedure itself.
Question 2 of 5
A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?
Correct Answer: B
Rationale: The correct answer is B: Brain CT or MRI. In a patient presenting with symptoms of a cerebrovascular accident (CV
A), such as sudden weakness or numbness of the face, arm, or leg, difficulty speaking, or severe headache, a brain CT or MRI is crucial for diagnosis. These imaging tests can identify the location and extent of the brain damage caused by a CVA, guiding appropriate treatment decisions such as thrombolytic therapy or surgical intervention. Prothrombin level (
A) is not typically relevant in the acute management of a CVA. Chest x-ray (
C) is not directly related to diagnosing a CVA. Lumbar puncture (
D) is not indicated in the acute phase of a suspected CVA as it is primarily used to evaluate conditions affecting the spinal cord and brain tissue.
Question 3 of 5
A nurse is conducting a mobility assessment on a patient. The patient can stand up from a seated position using a cane for support. Which of the following activity levels should the nurse assign to the patient?
Correct Answer: C
Rationale: The correct answer is C: No assistance. The patient being able to stand up from a seated position using a cane indicates independence in mobility without requiring any external help. This activity level signifies that the patient can perform the task without aid from the nurse or anyone else. Assigning any other activity level would be incorrect because they imply varying degrees of assistance, which are not needed in this scenario. Minimal assistance (
A) suggests some help is required, moderate assistance (
B) implies more support is needed, and maximum assistance (
D) indicates complete dependence on the nurse for the task, all of which do not align with the patient's ability to stand up using a cane independently.
Question 4 of 5
A nurse is teaching a patient about reducing the risk for falls. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Install handrails in your bathroom. Handrails in the bathroom can provide support and stability, reducing the risk of falls, especially when using the toilet or shower. Handrails help the patient maintain balance and prevent accidents.
Choice B is incorrect because a standard height toilet seat does not directly impact fall risk.
Choice C, wearing backless shoes, increases the risk of falls as they provide less stability and support.
Choice D is incorrect as covering extension cords with a throw rug can increase the risk of tripping and falling.
Question 5 of 5
A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B,D
Rationale: The correct answers are B and D. B is correct because exercise improves sleep by promoting relaxation and reducing anxiety. D is correct because exercise decreases stress by releasing endorphins and increasing mood through the release of neurotransmitters like serotonin. A is incorrect because exercise actually stimulates the release of endorphins, which are natural painkillers and mood enhancers. C is incorrect because exercise actually increases energy levels by improving circulation and oxygen flow to the body.