ATI RN
foundations of nursing practice questions Questions
Question 1 of 9
A patient who has had a lumpectomy calls the clinic to talk to the nurse. The patient tells the nurse that she has developed a tender area on her breast that is red and warm and looks like someone drew a line with a red marker. What would the nurse suspect is the womans problem?
Correct Answer: A
Rationale: The correct answer is A: Mondor disease. This condition presents as a superficial thrombophlebitis of the breast veins, causing a tender, red, warm, cord-like area resembling a red line. This is typically benign and self-limiting. B: Deep vein thrombosis (DVT) of the breast is unlikely as it typically involves deeper veins in the extremities. C: Recurrent malignancy is less likely as the symptoms described are more indicative of a benign condition like Mondor disease. D: An area of fat necrosis is also less likely as it usually presents as a painless, firm lump rather than a red, warm, tender area.
Question 2 of 9
A nurse is assessing the health care disparitiesamong population groups. Which area is the nurse monitoring?
Correct Answer: A
Rationale: The correct answer is A: Accessibility of health care services. The nurse is monitoring disparities in access to healthcare services among different population groups. This is important as it can influence health outcomes and the prevalence of complications. Outcomes of health conditions (B) are impacted by access to care. Prevalence of complications (C) and incidence of diseases (D) can also be influenced by disparities in accessing healthcare services. However, the primary focus of the nurse's assessment in this scenario is on the accessibility of healthcare services as a key factor contributing to health care disparities.
Question 3 of 9
A patient has just returned to the floor following a transurethral resection of the prostate. A triple- lumen indwelling urinary catheter has been inserted for continuous bladder irrigation. What, in addition to balloon inflation, are the functions of the three lumens?
Correct Answer: A
Rationale: The correct answer is A: Continuous inflow and outflow of irrigation solution. The first lumen inflates the balloon to secure the catheter in place. The second lumen allows continuous inflow of irrigation solution to prevent clot formation. The third lumen allows continuous outflow to ensure the bladder is continuously irrigated. Choices B, C, and D are incorrect because they do not accurately describe the functions of the three lumens in a transurethral resection of the prostate procedure.
Question 4 of 9
A patient has been admitted to the emergency department with signs of anaphylaxis following a bee sting. The nurse knows that if this is a true allergic reaction the patient will present with what alteration in laboratory values?
Correct Answer: A
Rationale: The correct answer is A: Increased eosinophils. Eosinophils are a type of white blood cell involved in allergic reactions. During anaphylaxis, the body releases chemicals that stimulate the production and activation of eosinophils, leading to an increase in their count. This helps in the identification of an allergic reaction. Incorrect Choices: B: Increased neutrophils - Neutrophils are not specific to allergic reactions and are typically increased in bacterial infections. C: Increased serum albumin - Serum albumin levels are not directly affected by allergic reactions. D: Decreased blood glucose - Hypoglycemia is not a typical manifestation of an allergic reaction.
Question 5 of 9
A patient who came to the clinic after finding a mass in her breast is scheduled for a diagnostic breast biopsy. During the nurses admission assessment, the nurse observes that the patient is distracted and tense. What is it important for the nurse to do?
Correct Answer: A
Rationale: The correct answer is A because acknowledging the patient's fear validates their emotions, builds trust, and shows empathy. This can help the patient feel understood and supported during a vulnerable time. Choice B is incorrect because discussing support groups may not address the patient's immediate emotional needs. Choice C is incorrect because assessing stress management skills may not be the priority at this moment when the patient is visibly tense. Choice D is incorrect because documenting a nursing diagnosis should come after addressing the patient's immediate emotional state.
Question 6 of 9
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 7 of 9
The nurse is developing a plan of care for a patient newly diagnosed with Bells palsy. The nurses plan of care should address what characteristic manifestation of this disease?
Correct Answer: B
Rationale: The correct answer is B: Facial paralysis. Bell's palsy is characterized by sudden, temporary weakness or paralysis of the facial muscles on one side of the face. This manifests as drooping of the eyelid and corner of the mouth, difficulty smiling or closing the eye. Tinnitus (A) is ringing in the ears, not a common symptom of Bell's palsy. Pain at the base of the tongue (C) is not a typical manifestation of Bell's palsy. Diplopia (D) is double vision, which is not a primary symptom of Bell's palsy. Therefore, the correct manifestation to address in the plan of care for a patient with Bell's palsy is facial paralysis.
Question 8 of 9
A nurse is charting. Which information is criticalfor the nurse to document?
Correct Answer: C
Rationale: The correct answer is C because documenting medication administration is critical for patient safety and continuity of care. By documenting the pain medication received, the nurse ensures accurate medication tracking and prevents errors. Choice A is incorrect as it lacks specific, objective information. Choice B is irrelevant to patient care. Choice D is inappropriate and violates patient confidentiality.
Question 9 of 9
A patient has sought care, stating that she developed hives overnight. The nurses inspection confirms the presence of urticaria. What type of allergic hypersensitivity reaction has the patient developed?
Correct Answer: A
Rationale: The correct answer is A: Type I hypersensitivity reaction. This type of reaction involves the release of histamine from mast cells and basophils, leading to symptoms like hives. It is characterized by the involvement of IgE antibodies. In this case, the patient developed hives quickly after exposure to the allergen, indicating an immediate hypersensitivity reaction typical of Type I. Choices B, C, and D are incorrect because they are associated with different mechanisms and timeframes of hypersensitivity reactions. Type II involves antibody-mediated cell destruction, Type III involves immune complex deposition, and Type IV is a delayed-type hypersensitivity reaction mediated by T cells, none of which are consistent with the rapid onset of hives seen in this patient.