Questions 55

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ATI 110 Fundamentals Exam 1 Questions

Extract:


Question 1 of 5

A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals to address an identified problem?

Correct Answer: A

Rationale: Formulating goals occurs during the planning phase, where measurable outcomes and interventions are developed based on assessment data. Implementation executes the plan, assessment gathers data, and evaluation assesses outcomes.

Question 2 of 5

A nurse is teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

Correct Answer: A

Rationale: Aging may exaggerate the startle reflex due to reduced neural inhibition. Muscle mass and body fat decrease, and systolic BP increases.

Question 3 of 5

A nurse is taking care of a patient that has a new prescription for labetalol (beta blocker). What adverse effect should the nurse include in the medication education?

Correct Answer: C

Rationale: Labetalol, a beta blocker, can cause bradycardia by slowing heart rate. Hypokalemia, bleeding, and seizures are not typical adverse effects.

Question 4 of 5

A nurse is caring for a client with a scheduled procedure. While preparing the client for transport they appear anxious and ask the nurse where they should hide their cellphone during the procedure. The nurse offers to lock the item in a secure area. Which category of Maslow's hierarchy of needs is the nurse addressing?

Correct Answer: A

Rationale: Securing the cellphone addresses safety needs, ensuring protection of belongings. Esteem, love, and physiological needs are not directly related to this concern.

Question 5 of 5

A nurse is reviewing the medical history of a client who is listed for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?

Correct Answer: B

Rationale: Anticoagulants increase bleeding risk, leading to hematoma formation. Being underweight, incontinence, or PVD don’t directly cause hematomas.

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