ATI RN
foundations of nursing practice questions Questions
Question 1 of 5
A nurse is performing an assessment on a patientwho has not had a bowel movement in 3 days. The nurse will expect which other assessment finding?
Correct Answer: A
Rationale: The correct answer is A: Hypoactive bowel sounds. When a patient has not had a bowel movement in 3 days, it indicates constipation. Constipation can lead to decreased peristalsis, resulting in hypoactive bowel sounds. Increased fluid intake (B) would be a potential intervention, not an expected assessment finding. A soft tender abdomen (C) may indicate other issues like inflammation or infection, not directly related to constipation. Jaundice in the sclera (D) is indicative of liver dysfunction, not a typical finding associated with constipation.
Question 2 of 5
Which action indicates the nurse is meeting aprimary goal of cultural competent care for patients?
Correct Answer: C
Rationale: The correct answer is C because providing individualized care is a fundamental aspect of cultural competence. This means tailoring care to meet the unique cultural, social, and personal needs of each patient. It involves understanding and respecting a patient's beliefs, values, and practices. Explanation: A. Providing care to transgender patients is important, but it is not the primary goal of cultural competence. B. Restoring relationships is beneficial but may not directly address cultural competence. D. Providing care to surgical patients is a common nursing duty but does not specifically relate to cultural competence.
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
A nurse is using Campinha-Bacote’s model of cultural competency to improve cultural care. Which actions describe the components the nurse is using?
Correct Answer: A
Rationale: Step 1: In Campinha-Bacote's model, the first component is "cultural awareness," which involves an in-depth self-examination of one's own background. Step 2: This self-examination helps nurses recognize their biases and assumptions, enabling them to provide culturally competent care. Step 3: By understanding their own culture, nurses can better understand and respect the cultural beliefs and practices of their patients. Step 4: This component is crucial for building trust and rapport with patients from diverse backgrounds. Step 5: Choices B, C, and D do not directly align with the cultural awareness component of Campinha-Bacote's model. B focuses on assessment, C on understanding diverse groups, and D on motivation, but they do not address the foundational self-examination required for cultural competency.
Question 5 of 5
Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention?
Correct Answer: C
Rationale: The correct answer is C: Teaching patients to wear sunscreen, which is an example of primary prevention. Primary prevention aims to prevent the occurrence of a disease before it occurs by addressing risk factors. In this case, teaching patients to wear sunscreen helps prevent skin cancer by reducing exposure to harmful UV rays. Yearly Pap tests (A) are a secondary prevention measure for cervical cancer, detecting precancerous changes. Testicular self-examination (B) is a form of secondary prevention for testicular cancer, aiming to detect any abnormalities early. Screening mammograms (D) are also a secondary prevention measure for breast cancer, detecting tumors at an early stage.