ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 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.
Question 2 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.
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
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: Stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood or hyperkalemia can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium which is the KCl infusion and monitor the client’s vital signs electrocardiogram and symptoms. Administering more KCl or encouraging fluids without stopping the infusion would worsen the condition. Calling the pharmacy is secondary to stopping the infusion.
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.