Questions 34

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ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions

Extract:


Question 1 of 5

A diabetic client states he feels depressed,is complaining of chest pain and has an open wound. Which of these complaints would require an immediate focused assessment?

Correct Answer: D

Rationale: Chest pain may indicate a life-threatening condition like a heart attack requiring immediate assessment to evaluate cardiac and respiratory function. Open wounds and depression are concerns but less urgent unless severe. Diabetes is a chronic condition not requiring immediate focus unless in crisis.

Question 2 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.

Question 3 of 5

The nurse notes that an elderly client has a history of osteoporosis. What safety measure should the nurse prioritize for this client?

Correct Answer: A

Rationale: Fall prevention is the most important safety measure for an elderly client with osteoporosis as falls can result in fractures and other complications. The nurse should assess the client’s risk factors for falls such as impaired vision balance or mobility and implement interventions to reduce them such as providing adequate lighting removing clutter and using assistive devices. Other measures are important but secondary to preventing fractures from falls in osteoporosis.

Question 4 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: Paralytic ileus is a condition in which the intestinal motility is decreased or absent resulting in the inability to pass gas or stool. It is a common complication of abdominal surgery as the manipulation of the bowel can cause inflammation and nerve damage. Clostridium difficile colitis involves diarrhea not absent bowel sounds. Constipation and fecal impaction are related to opioid use or chronic issues not immediate post-op complications.

Question 5 of 5

A person is experiencing stress because they are worried about passing their driver's license test tomorrow. This is an example of what type of stress?

Correct Answer: B

Rationale: Situational stress is caused by a particular situation or event that the person faces such as a test. These situations create pressure uncertainty or anxiety requiring adaptation. Environmental stress involves external factors like noise daily hassles are minor annoyances and episodic stress results from chronic stress exposure none of which fit this scenario.

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