ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
Which step of the nursing process involves setting long-term goals and short-term expectations?
Correct Answer: B
Rationale: The correct answer is B: Planning. In the nursing process, Planning involves setting long-term goals and short-term expectations based on the assessment data gathered in the previous step. This step includes developing a care plan that outlines the interventions needed to achieve the desired outcomes. Assessment (choice A) involves collecting and analyzing data, Implementation (choice C) is the actual carrying out of the care plan, and Evaluation (choice D) involves assessing the outcomes achieved compared to the goals set during the planning phase. Planning is essential for effective nursing care as it guides the interventions and ensures the patient's needs are addressed appropriately.
Question 2 of 5
A young adult female is schedule for her annual gynecological exam which includes a Pap smear, which is a screening test for:
Correct Answer: C
Rationale: The correct answer is C: cervical cancer. A Pap smear is a screening test specifically designed to detect abnormal cells on the cervix that could potentially develop into cervical cancer. It is not a test for pregnancy (choice A), breast cancer (choice B), or sexually transmitted infections (choice D). Regular Pap smears are crucial for early detection and prevention of cervical cancer.
Question 3 of 5
What type of logical reasoning is the nurse using when he/she/they starts with the big picture and anticipates specific findings?
Correct Answer: B
Rationale: The correct answer is B: Deductive. Deductive reasoning starts with a general principle or theory and applies it to specific situations to draw conclusions. In this scenario, the nurse is using deductive reasoning by starting with the big picture (general principle) and anticipating specific findings (applying the principle to specific situations). Inductive reasoning (choice A) involves drawing general conclusions based on specific observations. Careful reasoning (choice C) and critical reasoning (choice D) are broad terms that do not specifically describe the type of logical reasoning being used in this context.
Question 4 of 5
The nurse is completing an admission assessment with an 80-year-old man who experienced a hip fracture following a fall. He is alert, lives alone, and has very poor hygiene. He reports a 20-pound weight loss in the last 6 months following his wife's death, as well as estrangement from his only child. He admits to falls before this most recent fall. What should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is A: Dementia. Given the patient's age, history of falls, poor hygiene, weight loss, social isolation, and cognitive impairment, dementia is the most likely suspicion. The patient's cognitive decline may have contributed to the falls, poor self-care, and social isolation. Weight loss and cognitive decline following a significant life event (wife's death) are common in dementia. Delirium (C) is typically acute and reversible, not chronic like dementia. Elder abuse (B) may be a concern but is not the most likely cause based on the information provided. Alcohol abuse (D) is not supported by the patient's history and presentation.
Question 5 of 5
Which assessment data indicate to the nurse the client diagnosed with ARDS has experienced a complication secondary to the ventilator?
Correct Answer: C
Rationale: The correct answer is C because asymmetrical chest expansion indicates a potential complication such as pneumothorax, a common complication of mechanical ventilation in ARDS. This can lead to decreased lung compliance and oxygenation. A: Urine output may indicate renal function but is not directly related to ventilator complications. B: Pulse oximeter reading greater than 95% indicates good oxygenation, which is a positive finding. D: Sinus tachycardia can be due to various reasons and is not specific to ventilator complications.