ATI RN
Nursing Process Quizlet Questions Questions
Question 1 of 5
Mr. Reyea has expressive aphasia. As a part of a long range planning. The nurse should ;
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct: 1. Positive reinforcement helps enhance communication skills in individuals with expressive aphasia. 2. Providing positive feedback when Mr. Reyea uses words correctly encourages him to continue trying to communicate. 3. It boosts his confidence and motivation, leading to improved verbal communication over time. Summary of why other choices are incorrect: B. Waiting indefinitely for Mr. Reyea to verbally state his needs may lead to frustration and hinder effective communication. C. Suggesting permanent help at home assumes Mr. Reyea's condition cannot improve, which is not necessarily true for expressive aphasia. D. Helping the family accept Mr. Reyea's communication challenges does not actively support his communication improvement and may limit his progress.
Question 2 of 5
Why should the nurse wake up a client who is to undergo an EEG at midnight?
Correct Answer: B
Rationale: The correct answer is B because optimum sleep helps regulate breathing patterns during an EEG. Waking the client at midnight allows them to have a full night's rest, ensuring they are well-rested and their breathing is stable for accurate EEG results. Choice A is incorrect as excess sleep does not affect nervousness. Choice C is incorrect as waking the client does not help them fall asleep naturally during the EEG. Choice D is incorrect as headache prevention is not directly related to waking the client at midnight.
Question 3 of 5
A 34 year old male client is diagnosed with encephalitis. Medication has been started for him and he is receiving nursing care. Which of the ff nursing interventions are the most critical for such a client? Choose all that apply
Correct Answer: C
Rationale: The correct answer is C - Observing closely for signs of respiratory distress. In encephalitis, there is a risk of respiratory compromise due to brain inflammation affecting the respiratory center. Monitoring for signs of respiratory distress is critical to intervene promptly if breathing becomes compromised. A - Measuring fluid intake and output is important but not as critical as monitoring respiratory distress in encephalitis. B - Evaluating ventilation capacity and lung sounds is important, but close observation for respiratory distress takes precedence for immediate intervention. D - Administering an indwelling urethral catheter is not directly related to the client's immediate critical needs in encephalitis.
Question 4 of 5
Mr. RR is being prepared for surgery. Nursing care would include:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assessment of neurologic signs establishes baseline for post-op care. 2. Helps detect any changes post-surgery. 3. Enables prompt intervention if any issues arise. 4. Planning activities (B) is not a priority pre-surgery. 5. Enema (C) may not be necessary for all surgeries. 6. Explaining complications (D) is important but not a primary pre-op nursing care.
Question 5 of 5
In planning safe care for the older adult, which of the ff. conditions does the nurse recognize would not cause visual problems?
Correct Answer: D
Rationale: The correct answer is D, Arcus senilis. This condition does not cause visual problems in the older adult. Arcus senilis is a grayish-white ring around the cornea, which does not affect vision. Glaucoma, macular degeneration, and cataracts are conditions that can lead to visual impairment in older adults. Glaucoma is characterized by increased pressure in the eye, which can damage the optic nerve and lead to vision loss. Macular degeneration affects the central part of the retina, leading to blurred or distorted vision. Cataracts cause clouding of the lens, resulting in decreased vision. Therefore, Arcus senilis is the correct choice as it does not cause visual problems compared to the other conditions listed.