ATI RN
Fundamentals of Nursing Nursing Process Questions Questions
Question 1 of 5
Which of the ff information should the nurse provide to clients who are prescribed rifampin?
Correct Answer: B
Rationale: The correct answer is B because rifampin can cause discoloration of bodily fluids, including tears. If clients wear contact lenses, they need to be informed that the lenses may become colored due to this medication. This is important for the client's awareness and to prevent any potential harm to their eyes. A: Taking medication with meals is not necessary for rifampin administration. C: Avoiding wearing glasses is not relevant to rifampin treatment. D: Avoiding tuna, aged cheese, and red wine is not specifically related to rifampin use.
Question 2 of 5
A client with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which “related-to” phrase should the nurse add?
Correct Answer: A
Rationale: The correct answer is A: Related to bone demineralization resulting in pathologic fractures. In chronic hyperparathyroidism, there is excessive release of parathyroid hormone, leading to increased bone resorption and calcium release from bones, causing bone demineralization and weakening. This puts the client at risk for pathologic fractures. Choice B is incorrect because exhaustion is not a direct consequence of chronic hyperparathyroidism. Choice C is incorrect as edema and dry skin are not typical manifestations of hyperparathyroidism. Choice D is incorrect because tetany is more commonly associated with hypocalcemia, which is not a typical finding in hyperparathyroidism.
Question 3 of 5
A patient asks how to avoid lung cancer. The following are risk factors, except:
Correct Answer: B
Rationale: Step 1: Crowded living conditions do not directly increase the risk of lung cancer. Step 2: Passive smoke (choice A) and air pollution (choice C) contain carcinogens linked to lung cancer. Step 3: Diet low in fruits and vegetables (choice D) may lead to poor immune function, potentially impacting cancer risk. Step 4: In summary, crowded living conditions do not contribute to lung cancer risk compared to the other choices.
Question 4 of 5
The nurse is using a systematic approach to the collection of assessment data. The nurse uses an assessment guide that uses a hierarchy of five life requirements universal to all persons. What model for organizing the assessment data is the nurse using?
Correct Answer: A
Rationale: The correct answer is A: Human Needs (Maslow) model. The nurse is using a systematic approach based on Maslow's Hierarchy of Needs, which includes physiological, safety, love/belonging, esteem, and self-actualization needs. This model organizes assessment data by prioritizing these universal life requirements. Incorrect choices: B: Functional Health Patterns model - This model focuses on 11 functional health patterns, not the hierarchy of universal life requirements. C: Human Response Patterns model - This model focuses on the individual's response to stressors, not prioritizing universal life requirements. D: Body System model - This model focuses on assessing specific body systems, not the holistic approach of addressing all life requirements.
Question 5 of 5
A nurse is using assessment data gathered about a patient and combining critical thinking to develop a nursing diagnosis. What is the nurse doing?
Correct Answer: C
Rationale: The correct answer is C: Diagnostic reasoning. Diagnostic reasoning involves using assessment data and critical thinking skills to develop a nursing diagnosis. This process includes analyzing and interpreting data to make clinical judgments about the patient's health status. A: Assigning clinical cues is incorrect because this refers to identifying and documenting specific observations or findings during the assessment process, not the process of developing a nursing diagnosis. B: Defining characteristics is incorrect because this refers to the specific symptoms or manifestations used to support a nursing diagnosis, not the overall process of diagnostic reasoning. D: Diagnostic labeling is incorrect because this refers to assigning a formal name to the nursing diagnosis, not the process of critically analyzing assessment data to develop it.
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