ATI RN
Foundations and Adult Health Nursing Test Bank Questions
Question 1 of 5
Despite the reaction of the patient, which of the ethical principle that the nurse is responsible of providing all patients with caring attention and information?
Correct Answer: D
Rationale: Advocacy is the ethical principle that the nurse is responsible for providing all patients with caring attention and information, despite the reaction of the patient. Advocacy involves supporting and speaking up for the patient's best interests, ensuring they receive the care and information they need to make informed decisions about their health and well-being. Providing caring attention and information is essential in advocating for the patient's autonomy and well-being, even if the patient may not initially appreciate or react positively to these efforts.
Question 2 of 5
Nurse Addison provides instructions about measures to prevent postpartum mastitis who is breast feeding her newborn. Which of the following would indicate that the mother needs further instruction? "I Should _______."
Correct Answer: D
Rationale: Rationale: The correct answer is D) wash my nipples with soap and water prior to feeding. This statement indicates a need for further instruction because washing the nipples with soap can lead to dryness and irritation, potentially disrupting the natural balance of skin flora and increasing the risk of infection. It is recommended to clean the nipples with water only. Option A is correct as washing hands well before breastfeeding is essential to prevent the introduction of harmful bacteria to the baby. Option B is correct as breastfeeding every 2-3 hours helps maintain milk supply and prevents engorgement, which can contribute to mastitis. Option C is correct as changing breast pads frequently helps keep the area clean and dry, reducing the risk of infection. In an educational context, it is crucial for nurses to provide accurate and evidence-based instructions to mothers to prevent postpartum mastitis. Emphasizing proper hygiene practices without causing skin irritation is vital for promoting breastfeeding success and maternal-infant health. Nurses play a critical role in educating and supporting new mothers during the postpartum period.
Question 3 of 5
The first standard step in oxygen therapy that the nurse should do is________.
Correct Answer: A
Rationale: The first standard step in oxygen therapy that the nurse should do is to assess the client's condition. Before initiating any oxygen treatment, it is essential to assess the client's respiratory status, oxygen saturation levels, vital signs, and overall condition. This initial assessment helps the nurse to determine the appropriate course of oxygen therapy based on the client's individual needs and current health status. Assessing the client's condition first ensures that the oxygen therapy provided is safe and effective for the specific needs of the client.
Question 4 of 5
In what way wil1 the nurse handles the situation?
Correct Answer: C
Rationale: In this situation, the most appropriate way for the nurse to handle it would be to encourage the mother to keep calm because the health care team is doing their best to help Ramon recover. This response acknowledges the mother's concerns and reassures her that everything possible is being done for her son's well-being. It also helps to foster trust and rapport between the nurse, mother, and the healthcare team, which is important for effective communication and support during a challenging time. Promoting a sense of calm and trust in the healthcare professionals can help alleviate the mother's anxiety and stress, allowing her to focus on being a supportive presence for her son.
Question 5 of 5
The nurse reviews the patient 's plan of care. Which of the following nursing diagnose will be the PRIORITY?
Correct Answer: A
Rationale: In prioritizing nursing diagnoses, the nurse should consider issues that pose the greatest risk to the patient's immediate well-being. A fluid volume deficit can lead to dehydration and potentially life-threatening complications, making it a priority to address. It is crucial to restore fluid balance to maintain normal body functions and prevent further deterioration of the patient's condition. Ensuring adequate hydration is essential for the patient's overall health and recovery. The other options, such as risk for pain, coping, and body image disturbances, while important, are not as urgent as addressing a fluid volume deficit.