ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A client is 24 hours post-op after having a colon resection. His abdominal incision is dry and intact,but the nurse notes that bowel sounds have not returned. What condition is this client likely experiencing?
Correct Answer: A
Rationale: The correct answer is A: Paralytic ileus. Post-op patients commonly experience decreased peristalsis, leading to delayed return of bowel sounds. Paralytic ileus is characterized by absent bowel sounds, abdominal distention, and delayed passage of flatus/stool. This patient's dry, intact incision indicates no acute surgical complications, ruling out B and D. Constipation (
C) is more related to difficulty passing stool, not absent bowel sounds. Other choices (E, F, G) are irrelevant.
Question 2 of 5
A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B. This is incorrect because scheduling bariatric surgery without a surgeon's evaluation is unsafe and against standard practice. A thorough evaluation is necessary to assess the individual's overall health, readiness for surgery, and understanding of the procedure. Without this evaluation, there could be unforeseen risks or complications.
Choices A, C, and D are all correct statements that indicate the client understands important aspects of bariatric surgery. A highlights the post-operative dietary restrictions, C correctly describes the potential surgical procedures involved, and D acknowledges the necessity of lifelong lifestyle changes post-surgery for successful outcomes.
Question 3 of 5
The RN has completed an assessment on a client. What should the nurse do next?
Correct Answer: C
Rationale: The correct answer is C: Analyze cues. After completing the assessment, the nurse should analyze the data collected to identify patterns, anomalies, and potential health issues. This step is crucial for developing an accurate nursing diagnosis and creating effective nursing interventions. Reassessing the patient (
Choice
A) may be necessary later but is not the immediate next step. Writing nursing interventions (
Choice
B) and creating SMART goals (
Choice
D) should be based on the analysis of cues. Other choices are not relevant to the immediate post-assessment process.
Question 4 of 5
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs,which category should the nurse identify for the client's situation?
Correct Answer: A
Rationale: The correct answer is A: Safety. In Maslow's hierarchy of needs, safety needs are prioritized after physiological needs. The couple just lost their house in a fire, which poses a threat to their physical safety. Addressing safety needs is crucial before moving on to higher-level needs like self-actualization, esteem, or love and belonging. Safety includes physical safety as well as financial and emotional security, all of which are relevant in this situation.
Choices B, C, and D are incorrect because self-actualization, esteem, and love and belonging needs are higher-level needs that are considered once lower-level needs, like safety, are met.
Question 5 of 5
The RN receives a call from the lab that a client's potassium chloride (KCl) level is 6.6 (normal range is 3.5 to 5 mEq/L). What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Stop the KCl infusion. A potassium level of 6.6 mEq/L is elevated and poses a risk of hyperkalemia, which can lead to serious cardiac complications. Stopping the KCl infusion is the priority to prevent further potassium increase. Administering oral KCl (
B) would worsen the situation. Encouraging fluids (
C) may dilute the potassium but is not immediate. Calling the pharmacy (
D) is not urgent in this case.