ATI RN
Fundamentals of Nursing Nursing Process Questions Questions
Question 1 of 5
Mr. Dela Isla said he cannot comprehend what the nurse was saying. He suffers from:
Correct Answer: D
Rationale: The correct answer is D: Aphasia. Mr. Dela Isla's inability to comprehend what the nurse was saying indicates a language impairment, which is characteristic of aphasia. Aphasia is a condition that affects a person's ability to understand or produce language due to damage to the brain's language centers. Insomnia (A) is a sleep disorder, Agnosia (B) is a perception disorder, and Apraxia (C) is a motor planning disorder, none of which align with Mr. Dela Isla's symptoms.
Question 2 of 5
A nurse is preparing an IM injection of prednisolone acetate, 30 mg. It is supplied as 50 mg/mL. How many mL should the nurse prepare?
Correct Answer: B
Rationale: To calculate the mL needed for the injection, divide the prescribed dose by the concentration of the medication. In this case, 30 mg ÷ 50 mg/mL = 0.6 mL. However, since the nurse should round up to ensure the full dose is administered, the correct answer is 0.7 mL. Choice A is incorrect as it is rounded down. Choice C is incorrect as it is the exact division without rounding up. Choice D is incorrect as it is rounded up too much.
Question 3 of 5
The normal life expectancy for 50% of patients ith amyotropic lateral sclerosis (ALS) is:
Correct Answer: C
Rationale: The correct answer is C (5 years) because ALS is a progressive and fatal neurodegenerative disease. The median life expectancy for most ALS patients is around 3-5 years from the onset of symptoms. Choice A (3 years) is too short for 50% of patients. Choice B (10 years) and Choice D (20 years) are longer than the typical life expectancy for ALS patients, making them incorrect. The progression of ALS varies among individuals, but statistically, 50% of patients would be expected to live around 5 years after diagnosis.
Question 4 of 5
During thoracentesis, which of the following nursing intervention will be most crucial?
Correct Answer: B
Rationale: The correct answer is B: Maintain strict aseptic technique. This is crucial during thoracentesis to prevent infection. Step 1: Before the procedure, sterile equipment and supplies must be used. Step 2: Proper hand hygiene is essential to reduce the risk of introducing pathogens. Step 3: During the procedure, maintaining a sterile field helps minimize the risk of contamination. Step 4: After the procedure, ensuring proper disposal of all used supplies prevents the spread of infection. Summary: A: Placing the patient in a quiet and cool room may be comforting but is not directly related to the safety of the procedure. C: Advising the patient to sit still is important for accurate needle insertion but does not address infection prevention. D: Applying pressure over the puncture site is important but does not prevent infection if aseptic technique is not maintained.
Question 5 of 5
Which of the ff nursing actions is helpful for older clients who are experiencing lens changes associated with aging?
Correct Answer: D
Rationale: The correct answer is D, suggesting the use of glasses or contact lenses. This is because as older clients experience lens changes associated with aging, they may develop presbyopia or other vision issues that can be corrected with corrective lenses. Glasses or contact lenses can help improve their vision and quality of life. A, offering teaching aids with large-sized letters, may be helpful for clients with visual impairments but may not directly address the specific lens changes associated with aging. B, suggesting reduced visual activity, is not beneficial as it may further limit the client's engagement in daily activities and social interactions. C, suggesting the use of eye drops for comfort, may provide temporary relief for dry eyes but does not address the underlying lens changes affecting vision.