Questions 9

ATI RN

ATI RN Test Bank

Nursing Process Final Exam Questions Questions

Question 1 of 5

A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by learning self- catheterization versus assisted catheterization by home health nurses and family members. The nurse adds Readiness for enhanced urinary elimination in the care plan. Which type of diagnosis did the nurse write?

Correct Answer: C

Rationale: The correct answer is C: Health promotion. The nurse wrote a diagnosis of Readiness for enhanced urinary elimination, which indicates the patient's willingness to improve their urinary elimination abilities. Health promotion diagnoses focus on improving the client's well-being and enhancing their health potential. In this scenario, the patient's desire to learn self-catheterization aligns with health promotion as it involves empowering the patient to take an active role in their care. Choice A (Risk) is incorrect because the patient is not currently at risk for urinary elimination issues, but rather seeking to enhance their abilities. Choice B (Problem focused) is incorrect as the diagnosis is not about addressing a current problem but rather focusing on potential improvement. Choice D (Collaborative problem) is incorrect as it does not involve collaboration between healthcare providers but rather focuses on the patient's readiness and willingness to enhance their own health outcomes.

Question 2 of 5

Which of the following is information the nurse would be correct in giving the patient about smoking and its effect on BP?

Correct Answer: A

Rationale: The correct answer is A: It is associated with stages 1 and 2 hypertension. Smoking is a major risk factor for developing hypertension, especially stages 1 and 2. Nicotine in cigarettes can lead to vasoconstriction, increased heart rate, and overall elevated blood pressure. This information is crucial for patients to understand the direct impact of smoking on their blood pressure levels. Choice B is incorrect because smoking does indeed affect BP regulation by causing vasoconstriction and elevated heart rate. Choice C is incorrect as smoking actually causes vasoconstriction rather than vasodilation. Choice D is incorrect because smoking does lead to sustained elevation of blood pressure, especially in the long term.

Question 3 of 5

The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for?

Correct Answer: B

Rationale: The correct answer is B: Asymmetry. In the ABCD method for assessing skin lesions, A stands for asymmetry, which refers to whether one half of the lesion looks different from the other half. This is important because asymmetrical lesions are more likely to be cancerous. Actinic (choice A) refers to sun damage, Arcus (choice C) refers to a condition affecting the eyes, and Assessment (choice D) is a general term that does not specifically relate to the characteristics of skin lesions.

Question 4 of 5

What should a male client over age 50 do to help ensure early identification of prostate cancer?

Correct Answer: A

Rationale: Rationale: 1. Digital rectal exam (DRE) and PSA test are recommended by major health organizations for prostate cancer screening in men over 50. 2. DRE helps detect abnormalities in the prostate, while PSA test measures the levels of a protein produced by the prostate gland. 3. Prostate cancer can be asymptomatic in its early stages, so regular screening is crucial for early detection and treatment. 4. Transrectal ultrasound is not a primary screening method for prostate cancer. 5. Testicular self-exams are for detecting testicular cancer, not prostate cancer. 6. CBC, BUN, and creatinine levels are not specific tests for prostate cancer screening.

Question 5 of 5

Mr. Reyes is extremely confused. The nurse provide new information slowly and in small amounts because;

Correct Answer: A

Rationale: The correct answer is A. When someone is extremely confused, providing new information slowly and in small amounts can help prevent overwhelming stress and further confusion. This approach allows the individual to process information more effectively and reduces the risk of escalating confusion or delirium as a defense mechanism. Choices B, C, and D are incorrect because destruction of brain cells, teaching progression, and giving minimal information are not directly related to managing confusion in this scenario.

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