ATI RN
foundations of nursing practice questions Questions
Question 1 of 9
A nurse is using SOLER to facilitate active listening.Which technique should the nurse use for R?
Correct Answer: A
Rationale: The correct answer is A: Relax. In the SOLER technique for active listening, "R" stands for Relax. This technique involves the nurse maintaining a relaxed and open body posture to show attentiveness and create a comfortable environment for the speaker. This helps to build trust and encourages the speaker to express themselves freely. Choice B: Respect is incorrect as it refers to showing respect towards the speaker, which is important in communication but not specifically related to the relaxation aspect of active listening. Choice C: Reminisce is incorrect as it means to recall past experiences or memories, which is not part of the SOLER technique for active listening. Choice D: Reassure is incorrect as it involves providing comfort or support to the speaker, which is different from the relaxation required for active listening.
Question 2 of 9
A patient presents to the emergency department with paraphimosis. The physician is able to compress the glans and manually reduce the edema. Once the inflammation and edema subside, what is usually indicated?
Correct Answer: B
Rationale: The correct answer is B: Circumcision. Paraphimosis occurs when the foreskin is retracted behind the glans and cannot be returned to its original position. Once the inflammation and edema subside, circumcision is typically indicated to prevent recurrence. This procedure removes the foreskin, reducing the risk of future paraphimosis episodes. Needle aspiration of the corpus cavernosum (A) is not indicated for paraphimosis. Abstinence from sexual activity for 6 weeks (C) is not a standard treatment for paraphimosis. Administration of vardenafil (D) is used for erectile dysfunction and not indicated for paraphimosis.
Question 3 of 9
A patient who is scheduled for an open prostatectomy is concerned about the potential effects of the surgery on his sexual function. What aspect of prostate surgery should inform the nurses response?
Correct Answer: B
Rationale: Step 1: Prostate surgery can damage nerves responsible for erectile function. Step 2: Nerve damage can lead to erectile dysfunction post-prostatectomy. Step 3: Choice B correctly states that all prostatectomies carry a risk of nerve damage and consequent erectile dysfunction, aligning with the potential impact of surgery on sexual function. Step 4: Other choices lack accuracy: A incorrectly attributes erectile dysfunction solely to hormonal changes, C falsely suggests temporary nature of dysfunction, and D wrongly claims no risk of dysfunction due to modern techniques.
Question 4 of 9
The nurses assessment of a patient with significant visual losses reveals that the patient cannot count fingers. How should the nurse proceed with assessment of the patients visual acuity?
Correct Answer: B
Rationale: The correct answer is B because the patient's inability to count fingers indicates severe visual impairment. Testing hand motion perception is a more appropriate initial assessment for patients with such significant visual losses. This method can differentiate between light perception and no light perception, providing valuable information about the patient's visual acuity. The other choices are incorrect because assessing vision using a Snellen chart (A) requires more visual acuity than just being able to see hand motion. Performing a detailed examination of external eye structures (C) and palpating periocular regions (D) are not relevant for assessing visual acuity and do not provide information on the patient's ability to perceive hand motion.
Question 5 of 9
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 6 of 9
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results?
Correct Answer: C
Rationale: The correct answer is C: Western blot test. The Western blot test is considered the gold standard for confirming HIV diagnosis after a positive EIA result. It detects specific antibodies to HIV proteins, providing a more accurate confirmation. Other choices are incorrect because: A: Another EIA test would yield the same result as the initial EIA test. B: Viral load test measures the amount of virus in the blood and is not used to confirm HIV diagnosis. D: CD4/CD8 ratio is used to monitor immune status but not to confirm HIV diagnosis.
Question 7 of 9
A nurse needs to know how to find, evaluate, and use information effectively.
Correct Answer: C
Rationale: The correct answer is C: Clinical decision support system. A clinical decision support system is a type of system or design that helps healthcare professionals, including nurses, in making clinical decisions by providing them with relevant information and knowledge. This system assists in analyzing data to generate patient-specific recommendations or alerts to improve patient care. In the given scenario, the nurse's need to find, evaluate, and use information effectively aligns with the purpose of a clinical decision support system. This system enables the nurse to access evidence-based information, guidelines, and recommendations to enhance their decision-making process and improve patient outcomes. Summary of why other choices are incorrect: A: Computer competency does not equate to informatics competency. While computer skills are important, informatics involves a deeper understanding of using information effectively in practice. B: This choice provides a detailed explanation of informatics but does not directly address the type of system or design the nurse would be using to find, evaluate, and use information effectively. D: Nursing process
Question 8 of 9
As a staff member in a local hospice, a nurse deals with death and dying on a frequent basis. Where would be the safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died?
Correct Answer: D
Rationale: The correct answer is D: At a memorial service. This is a safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died because a memorial service is specifically designed to honor and remember the deceased. It provides a supportive and understanding environment where emotions can be shared openly without judgment. The nurse can find comfort in sharing her feelings with others who have also been impacted by the patient's passing. Incorrect choices: A: In the cafeteria - Not an appropriate setting for expressing personal emotions related to death and dying. B: At a staff meeting - Might not be the most suitable place as the focus is on work-related matters. C: At a social gathering - Not specifically designed for processing grief and may not provide the necessary support and understanding.
Question 9 of 9
A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because infants typically triple their birth weight by 1 year of age due to rapid growth and development. This information is crucial for understanding normal growth patterns in infants. Choice B is incorrect as picky eating behavior is common in toddlers but not a universal characteristic. Choice C is incorrect as school-age children can consume hot dogs and grapes safely as long as they are cut into appropriate sizes to prevent choking hazards. Choice D is incorrect as breastfeeding women actually need an additional 450-500 kcal/day, not 750 kcal/day.