ATI RN
foundations of nursing practice questions Questions
Question 1 of 5
A family member of a patient diagnosed with Huntington disease calls you at the clinic. She is requesting help from the Huntingtons Disease Society of America. What kind of help can this patient and family receive from this organization? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Information about this disease. The Huntington's Disease Society of America provides valuable resources such as educational materials, support groups, and updates on research. This information can help patients and families understand the disease better and navigate available treatment options. Referrals, public education, individual assessments, and appraisals of research studies are not typically services provided directly by the organization, making them incorrect choices in this context.
Question 2 of 5
A hospital nurse has experienced percutaneous exposure to an HIV-positive patients blood as a result of a needlestick injury. The nurse has informed the supervisor and identified the patient. What action should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Report to the emergency department or employee health department. 1. Immediate action is crucial after exposure to HIV-positive blood. 2. Reporting to the emergency department or employee health department ensures prompt evaluation and appropriate management. 3. The supervisor should also be informed to initiate the necessary protocols. 4. The other choices are incorrect: - A: Chlorhexidine may not be sufficient for post-exposure prophylaxis. - C: Hydrocolloid dressing is not appropriate for managing needlestick injuries. - D: Following up with the primary care provider may cause delays in receiving timely post-exposure prophylaxis.
Question 3 of 5
A nurse works at a hospital that uses equity-focusedquality improvement. Which strategy is the hospital using?
Correct Answer: D
Rationale: The correct answer is D: Reduce disparities. In equity-focused quality improvement, the primary goal is to address and reduce disparities in healthcare outcomes and access. By focusing on reducing disparities, the hospital ensures that all patients receive equitable care regardless of their background. Documenting staff satisfaction (A) is important but not directly related to equity-focused improvement. Focusing on the family (B) is essential for patient-centered care but doesn't specifically address equity. Implementing change on a grand scale (C) may not necessarily target disparities directly. Therefore, reducing disparities aligns best with equity-focused quality improvement principles.
Question 4 of 5
An oncology nurse is contributing to the care of a patient who has failed to respond appreciably to conventional cancer treatments. As a result, the care team is considering the possible use of biologic response modifiers (BRFs). The nurse should know that these achieve a therapeutic effect by what means?
Correct Answer: B
Rationale: The correct answer is B: Focusing the patient's immune system exclusively on the tumor. Biologic response modifiers (BRMs) work by enhancing the body's natural defenses to target and attack cancer cells specifically. This approach helps the immune system to recognize and destroy cancer cells while minimizing harm to normal cells. A: Promoting the synthesis and release of leukocytes - This is not the primary mechanism of action for BRMs. While leukocytes play a role in the immune response, BRMs target the immune system's response to tumors. C: Potentiating the effects of chemotherapeutic agents and radiation therapy - While some BRMs may be used in combination with these treatments, their primary mode of action is not to enhance the effects of chemotherapy or radiation therapy. D: Altering the immunologic relationship between the tumor and the patient - This choice is too broad and vague. BRMs specifically aim to direct the immune response towards targeting the tumor cells, rather than altering the overall immunologic relationship
Question 5 of 5
The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. While assessing this patient, what characteristic symptom would the nurse expect to find?
Correct Answer: A
Rationale: Step-by-step rationale for why A is correct: 1. Retinal detachment causes traction on the retina. 2. Traction on the retina can stimulate photoreceptors. 3. Stimulation of photoreceptors can lead to perception of flashing lights. 4. Therefore, the characteristic symptom of retinal detachment is flashing lights in the visual field. Summary: B: Sudden eye pain is not a characteristic symptom of retinal detachment. C: Loss of color vision is not typically associated with retinal detachment. D: Colored halos around lights are more indicative of conditions like glaucoma or corneal edema, not retinal detachment.
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