ATI RN
foundations of nursing practice questions Questions
Question 1 of 9
The nurse is planning the care of a patient who has a diagnosis of atopic dermatitis, which commonly affects both of her hands and forearms. What risk nursing diagnosis should the nurse include in the patients care plan?
Correct Answer: D
Rationale: The correct answer is D: Risk for Self-Care Deficit Related to Skin Lesions. Patients with atopic dermatitis may experience difficulty performing self-care tasks due to pain, itching, and limitations in hand mobility caused by skin lesions. This diagnosis addresses the potential challenges the patient may face in maintaining personal hygiene and managing their skin condition. Explanation for why other choices are incorrect: A: Risk for Disturbed Body Image Related to Skin Lesions - While atopic dermatitis may impact body image, the priority in this case is the patient's ability to perform self-care. B: Risk for Disuse Syndrome Related to Dermatitis - Disuse syndrome is not typically associated with atopic dermatitis. C: Risk for Ineffective Role Performance Related to Dermatitis - This diagnosis focuses on the patient's ability to fulfill their roles, which may not be directly impacted by atopic dermatitis.
Question 2 of 9
A nurse is using SOLER to facilitate active listening.Which technique should the nurse use for R?
Correct Answer: A
Rationale: The correct answer is A: Relax. In the SOLER technique for active listening, "R" stands for Relax. This technique involves the nurse maintaining a relaxed and open body posture to show attentiveness and create a comfortable environment for the speaker. This helps to build trust and encourages the speaker to express themselves freely. Choice B: Respect is incorrect as it refers to showing respect towards the speaker, which is important in communication but not specifically related to the relaxation aspect of active listening. Choice C: Reminisce is incorrect as it means to recall past experiences or memories, which is not part of the SOLER technique for active listening. Choice D: Reassure is incorrect as it involves providing comfort or support to the speaker, which is different from the relaxation required for active listening.
Question 3 of 9
A nurse is watching a nursing assistive personnel(NAP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?
Correct Answer: D
Rationale: The correct answer is D because setting the scanner to female is incorrect for a patient who has had a hysterectomy as they do not have a uterus. This could lead to inaccurate results. Palpating the symphysis pubis (A) ensures proper positioning, wiping the scanner head with alcohol (B) maintains infection control, and applying gel (C) facilitates sound wave transmission.
Question 4 of 9
In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share?
Correct Answer: D
Rationale: The correct answer is D because saturated fats are primarily found in animal sources such as red meat, poultry, and dairy products. It is important to limit the intake of saturated fats on a low-fat diet to reduce the risk of heart disease and other health issues. A: Polyunsaturated fats are actually considered healthy fats and should not be restricted to less than 7% of total calories. B: Transfat is a type of unhealthy fat that should be avoided altogether, not just limited to 7% of total calories. C: Unsaturated fats are actually found mostly in plant-based sources like nuts, seeds, and avocados, not animal sources. In summary, choice D is correct because it provides accurate information about the source of saturated fats in animal products, while the other choices provide incorrect or misleading information about different types of fats.
Question 5 of 9
Traditionally, nurses have been involved with tertiary cancer prevention. However, an increasing emphasis is being placed on both primary and secondary prevention. What would be an example of primary prevention?
Correct Answer: C
Rationale: The correct answer is C: Teaching patients to wear sunscreen, which is an example of primary prevention. Primary prevention aims to prevent the occurrence of a disease before it occurs by addressing risk factors. In this case, teaching patients to wear sunscreen helps prevent skin cancer by reducing exposure to harmful UV rays. Yearly Pap tests (A) are a secondary prevention measure for cervical cancer, detecting precancerous changes. Testicular self-examination (B) is a form of secondary prevention for testicular cancer, aiming to detect any abnormalities early. Screening mammograms (D) are also a secondary prevention measure for breast cancer, detecting tumors at an early stage.
Question 6 of 9
The nurse is using different toileting schedules.Which principles will the nurse keep in mind when planning care? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because habit training involves keeping a bladder diary to identify patterns and develop a toileting schedule. This helps in promoting regular voiding habits. B is incorrect because timed voiding isn't solely based on the patient's urge to void, but rather on a predetermined schedule. C is incorrect as prompted voiding involves reminding patients to use the restroom at regular intervals, not just asking if they are wet or dry. D is incorrect because elevating feet in patients with edema may help reduce swelling but has no direct impact on nighttime voiding.
Question 7 of 9
A patient is using laxatives three times dailyto lose weight. After stopping laxative use, the patient has difficulty with constipation and wonders if laxatives should be taken again. Which information will the nurse share with the patient?
Correct Answer: A
Rationale: The correct answer is A. Long-term laxative use can lead to the bowel becoming less responsive to stimuli, resulting in constipation. This is due to the body becoming dependent on laxatives to stimulate bowel movements. Choice B is incorrect as laxatives typically do not cause trauma or scarring to the intestinal lining. Choice C is incorrect because while emollient laxatives can be helpful for constipation, long-term use is not recommended due to potential side effects. Choice D is incorrect because laxatives do not directly cause malnourishment or prevent waste production.
Question 8 of 9
The nurse is planning the care of a patient who has a diagnosis of atopic dermatitis, which commonly affects both of her hands and forearms. What risk nursing diagnosis should the nurse include in the patients care plan?
Correct Answer: D
Rationale: The correct answer is D: Risk for Self-Care Deficit Related to Skin Lesions. Patients with atopic dermatitis may experience difficulty performing self-care tasks due to pain, itching, and limitations in hand mobility caused by skin lesions. This diagnosis addresses the potential challenges the patient may face in maintaining personal hygiene and managing their skin condition. Explanation for why other choices are incorrect: A: Risk for Disturbed Body Image Related to Skin Lesions - While atopic dermatitis may impact body image, the priority in this case is the patient's ability to perform self-care. B: Risk for Disuse Syndrome Related to Dermatitis - Disuse syndrome is not typically associated with atopic dermatitis. C: Risk for Ineffective Role Performance Related to Dermatitis - This diagnosis focuses on the patient's ability to fulfill their roles, which may not be directly impacted by atopic dermatitis.
Question 9 of 9
A patient with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the patients health history. What clinical manifestation would the nurse expect to assess?
Correct Answer: B
Rationale: The correct answer is B: Increased abdominal girth. In ovarian cancer, a common clinical manifestation is the accumulation of fluid in the abdomen, leading to increased abdominal girth. This is known as ascites. The presence of ascites can be observed through physical examination and abdominal imaging. A: Fish-like vaginal odor is not typically associated with ovarian cancer. It may be a symptom of other gynecological conditions. C: Fever and chills are not specific to ovarian cancer and can be seen in various infectious or inflammatory conditions. D: Lower abdominal pelvic pain is a common symptom in many gynecological conditions but is not a specific manifestation of ovarian cancer.