ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is assessing a patient who reports feeling stress and anxiety. The patient appears restless and is pacing in the room. The patient is alert and oriented to person place and time. Which of the following findings is subjective?
Correct Answer: C
Rationale: Restlessness is an observable behavior making it an objective finding. Pacing is also an observable behavior so it is considered an objective finding. Anxiety is a subjective finding because it is based on the patient's personal experience and cannot be directly observed. Alertness is an objective finding because it can be directly observed and measured.
Question 2 of 5
A nurse is caring for a patient who has cancer and is receiving palliative care. Which of the following statements by the patient indicates an understanding of this type of treatment?
Correct Answer: C
Rationale: While palliative care can indeed help improve a patient's quality of life it is not typically aimed at curing the disease or significantly prolonging life. Instead the focus is on managing symptoms and improving comfort.
Therefore the statement 'This treatment should help me live a little longer and give me hope for a cure' does not accurately reflect the goals of palliative care. The statement 'I will continue my strict dietary plan' does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context. The statement 'I am hoping this will limit my discomfort and give me the best quality of life for me' accurately reflects the goals of palliative care. Palliative care aims to manage symptoms including pain and discomfort and to improve the patient's quality of life. The statement 'This is not working and I plan to stop treatment' does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.
Question 3 of 5
A nurse is instructing a newly licensed nurse about age-related changes to vision in older adult patients. Which of the following should the nurse include as an example of an expected age-related change?
Correct Answer: B
Rationale: This statement is incorrect. As people age the flexibility of the lens of the eye actually decreases not increases. This can lead to conditions such as presbyopia which is difficulty focusing on close objects. As people age their depth perception can decrease. This can make it more difficult to judge distances and can increase the risk of falls. This statement is incorrect. As people age the tone of the eye muscles can decrease not increase. This can lead to conditions such as presbyopia. This statement is incorrect. As people age the natural lens of the eye can actually thicken not reduce. This can lead to conditions such as cataracts.
Question 4 of 5
A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?
Correct Answer: A
Rationale: Post-traumatic stress disorder (PTS
D) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event which the patient reports experiencing. Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS it is not a stress-related disorder in the sense of being a psychological response to stress. Acute stress disorder (AS
D) is a stress-related disorder that can occur in response to a traumatic event. However ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago ASD is not the correct answer.
Question 5 of 5
A nurse is teaching a group of older adults about risk factors for developing a stroke. Which non-modifiable risk factors should the nurse include in the teaching?
Correct Answer: B
Rationale: While hypertension is a risk factor for stroke it is a modifiable risk factor. This means it can be controlled and managed through lifestyle changes and medication. Family history is a non-modifiable risk factor for stroke. If a close family member like a parent or sibling has had a stroke a person's risk of stroke is slightly higher. Smoking is a modifiable risk factor for stroke. Quitting smoking can significantly reduce the risk of stroke. Obesity is a modifiable risk factor for stroke. Maintaining a healthy weight through diet and regular exercise can help reduce the risk of stroke.