ATI RN
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ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question
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1 of 5
A client is hospitalized for observation after suffering heat exhaustion during a marathon race. He complains of dizziness when he stands up,and the RN determines that he has postural hypotension. Based on the information which of the following electrolyte imbalances could cause the client's symptoms?
Correct Answer: B
Rationale: Hyponatremia or low sodium levels can cause postural hypotension due to its role in regulating fluid balance and blood pressure. Heat exhaustion may lead to sodium loss through sweating contributing to symptoms like dizziness. Hypernatremia hyperkalemia and hypokalemia are less likely to cause postural hypotension in this context.
Question 2 of 5
Twenty minutes after administering pain medication to the patient,the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?
Correct Answer: E
Rationale: Evaluation is the phase where the nurse measures the effectiveness of interventions by comparing actual outcomes to expected ones. Asking about pain level after medication assesses the intervention’s success fitting the evaluation phase. Other phases involve data collection diagnosis planning or action not outcome measurement.
Question 3 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 4 of 5
A client is hospitalized for observation after suffering heat exhaustion during a marathon race. He complains of dizziness when he stands up,and the RN determines that he has postural hypotension. Based on the information which of the following electrolyte imbalances could cause the client's symptoms?
Correct Answer: B
Rationale: Hyponatremia or low sodium levels can cause postural hypotension due to its role in regulating fluid balance and blood pressure. Heat exhaustion may lead to sodium loss through sweating contributing to symptoms like dizziness. Hypernatremia hyperkalemia and hypokalemia are less likely to cause postural hypotension in this context.
Question 5 of 5
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistant then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is re-checked and it has dropped even lower. The nurse first made an error in what phase of the nursing process?
Correct Answer: A
Rationale: Assessment is the first and most important phase of the nursing process as it involves collecting and analyzing data about the patient’s health status needs and preferences. The nurse should have assessed the patient’s blood pressure before administering the antihypertensive medication as it could have been contraindicated or required a dosage adjustment. By failing to do so the nurse put the patient at risk of hypotension and its complications.