ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 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: Safety is the second level of Maslow’s hierarchy of needs and it includes the needs for security stability protection and freedom from fear and anxiety. The couple who lost their house in a fire are likely experiencing a threat to their safety needs as they have lost their shelter possessions and sense of security. Higher-level needs like self-actualization esteem or love and belonging are secondary until safety is addressed.
Question 2 of 5
A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a barrier cream protects the skin from urine’s acidity bacteria and enzymes reducing skin breakdown risk. Soap friction and hot water can irritate or damage the skin increasing infection risk in incontinent clients.
Question 3 of 5
Identify which client could be considered to be in a state of wellness?
Correct Answer: C
Rationale: A hospice client who is comfortable and at peace with dying is in a state of wellness. Wellness is not only the absence of disease but also the presence of positive health behaviors and attitudes. The client’s acceptance and comfort reflect emotional and spiritual well-being aligning with wellness. The other options involve ignoring health risks emotional distress or unhealthy behaviors which do not reflect wellness.
Question 4 of 5
The RN is using clinical judgment to determine which patient she needs to see first. What is one primary reason for prioritizing care?
Correct Answer: D
Rationale: Nurses have a limited amount of time to perform nursing interventions during a shift is a primary reason for prioritizing care. This acknowledges that nurses face time constraints and competing demands requiring clinical judgments to optimize patient health and safety. Focusing on easy tasks client preferences or completing all activities does not prioritize based on patient need or urgency.
Question 5 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.