ATI RN
foundations of nursing practice questions Questions
Question 1 of 9
A patient with low vision has called the clinic and asked the nurse for help with acquiring some lowvision aids. What else can the nurse offer to help this patient manage his low vision?
Correct Answer: C
Rationale: The correct answer is C: The patient has diabetes. Diabetes can lead to diabetic retinopathy, a common cause of low vision. By knowing the patient's medical history, the nurse can recommend appropriate low vision aids and refer the patient to an ophthalmologist for further evaluation and management. Incorrect choices: A: The patient uses OTC NSAIDs - NSAIDs are not relevant to managing low vision. B: The patient has a history of stroke - A history of stroke is not directly related to low vision. D: The patient has Asian ancestry - Ancestry is not a factor in managing low vision.
Question 2 of 9
A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?
Correct Answer: A
Rationale: The correct answer is A: Red wine colored. Following a prostatectomy, continuous bladder irrigation is commonly used to prevent blood clots and ensure urine drainage. The output is expected to be red wine colored, indicating the presence of blood in the urine due to surgical trauma. Tea-colored (choice B) or amber (choice C) are not specific enough and do not accurately reflect the expected bloody output. Light pink (choice D) may suggest a lower level of bleeding compared to red wine color, but it is not the most accurate description for post-prostatectomy drainage.
Question 3 of 9
Which clinical intervention is the only known cure for preeclampsia?
Correct Answer: B
Rationale: The correct answer is B: Delivery of the fetus. The only known cure for preeclampsia is the delivery of the fetus, as this condition typically resolves after giving birth. Since preeclampsia can lead to serious complications for both the mother and baby, delivering the fetus is the most effective way to stop the progression of the condition. Magnesium sulfate (choice A) is used to prevent seizures in women with severe preeclampsia but does not cure the condition. Antihypertensive medications (choice C) are used to manage blood pressure in preeclampsia but do not cure it. Administration of aspirin (choice D) is used for prevention, not as a cure for preeclampsia.
Question 4 of 9
A patient with low vision has called the clinic and asked the nurse for help with acquiring some lowvision aids. What else can the nurse offer to help this patient manage his low vision?
Correct Answer: C
Rationale: The correct answer is C: The patient has diabetes. Diabetes can lead to diabetic retinopathy, a common cause of low vision. By knowing the patient's medical history, the nurse can recommend appropriate low vision aids and refer the patient to an ophthalmologist for further evaluation and management. Incorrect choices: A: The patient uses OTC NSAIDs - NSAIDs are not relevant to managing low vision. B: The patient has a history of stroke - A history of stroke is not directly related to low vision. D: The patient has Asian ancestry - Ancestry is not a factor in managing low vision.
Question 5 of 9
An abortion when the fetus dies but is retained in the uterus is called
Correct Answer: B
Rationale: The correct answer is B: missed. In a missed abortion, the fetus dies but is not immediately expelled from the uterus. This term specifically describes the situation where the fetus is retained in the uterus. Choice A (inevitable) refers to a situation where abortion is certain to occur, choice C (incomplete) refers to partial expulsion of the fetus, and choice D (threatened) refers to a situation where the woman has vaginal bleeding, but the fetus is still viable. Therefore, the term "missed" accurately describes the scenario where the fetus dies but remains in the uterus.
Question 6 of 9
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complication?
Correct Answer: A
Rationale: The correct answer is A: HIV encephalopathy. This condition, also known as AIDS dementia complex, is characterized by progressive decline in cognitive, behavioral, and motor functions due to HIV affecting the brain. The onset of these symptoms in the patient is indicative of HIV encephalopathy. Explanation for why other choices are incorrect: B: B-cell lymphoma is a type of cancer that can occur in patients with AIDS, but it typically presents with symptoms related to lymph nodes or other organs, not cognitive decline. C: Kaposis sarcoma is a type of cancer caused by the human herpesvirus 8, and it typically presents with skin lesions or internal organ involvement, not cognitive decline. D: Wasting syndrome is characterized by severe weight loss, weakness, and loss of muscle mass, but it does not directly cause cognitive, behavioral, and motor decline as seen in HIV encephalopathy.
Question 7 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 8 of 9
A nurse is developing a plan to reduce data entryerrors and maintain confidentiality. Which guidelines should the nurse include? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Implement an automatic sign-off. This guideline helps reduce data entry errors by ensuring that all entries are completed and saved before exiting the system, thus maintaining confidentiality. Bypassing the firewall (A) would compromise data security. Creating a password with just letters (C) may not be secure enough. Using a programmed speed-dial key when faxing (D) is unrelated to reducing data entry errors or maintaining confidentiality.
Question 9 of 9
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.