ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A client has chronic back pain from a work-related injury that occurred 5 years ago. Which patient goal meets the SMART criteria?
Correct Answer: D
Rationale: The client will engage in desired activities without the pain level increasing above a pain scale level of 3 out of 10 within one month is a SMART goal. This goal is specific (desired activities pain level) measurable (pain scale) achievable (pain threshold of 3) relevant (enhances quality of life) and time-bound (within one month). Other options lack specificity measurability or time boundaries.
Question 2 of 5
A nurse is caring for a client who states,I did not take my medication because my partner forgot to remind me. The nurse should identify that the client is demonstrating which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization involves using logical explanations to justify actions as the client blames their partner for forgetting to remind them avoiding personal responsibility. Identification adopts others’ behaviors denial refuses reality and displacement redirects feelings none of which fit this scenario.
Question 3 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 4 of 5
A client presents in the emergency room with a penetrating eye injury. The object is still present in the eye. Which nursing action is priority?
Correct Answer: A
Rationale: Stabilizing the object is the priority nursing action for a penetrating eye injury. Stabilizing the object prevents further damage to the eye structures and reduces the risk of infection and bleeding. The nurse should use a protective shield or cup to cover the eye and secure the object in place and avoid applying any pressure or movement to the eye. Applying anesthetic drops removing the object or using ointment could worsen the injury and are not initial priorities.
Question 5 of 5
The RN asks the client to demonstrate proper use of his inhaler. This is an example of which domain of learning?
Correct Answer: C
Rationale: Psychomotor domain of learning involves the physical aspects of learning such as movement coordination and manipulation. It includes skills such as imitating practicing adapting and creating. An example of psychomotor learning is the RN asking the client to demonstrate proper use of his inhaler. Cognitive learning involves mental processes like understanding the inhaler’s purpose. Affective learning involves emotions and attitudes toward using the inhaler. Kinesthetic is a learning style not a domain.