ATI RN
ATI Nur 105 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will bear the weight of my body on my hands." This statement indicates a need for further teaching because the client should bear weight on their arms, not hands, to avoid nerve damage. A: Keeping spare crutch tips is a good practice. C: Inspecting crutches daily is essential for safety. D: Using someone else's crutches is not recommended for proper fit.
Question 2 of 5
A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client statements is a sign of cognitive distortion?
Correct Answer: B
Rationale:
Correct
Answer: B. If I eat one piece of candy, I may as well eat ten.
Rationale: This statement demonstrates black-and-white thinking, a common cognitive distortion in anorexia nervosa. The client is exhibiting all-or-nothing thoughts by believing that eating one piece of candy will inevitably lead to overeating. This distorted thinking pattern can contribute to restrictive behaviors and exacerbate the disorder.
Incorrect
Choices:
A: I really need to get into shape - This statement reflects body image concerns commonly seen in anorexia but does not necessarily indicate cognitive distortion.
C: I can't afford to gain weight - While this statement may indicate fear of weight gain, it does not necessarily demonstrate cognitive distortion.
D: I like to cut my food into small pieces - This behavior may be related to food rituals or control issues but does not directly reflect cognitive distortion.
Question 3 of 5
A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?
Correct Answer: D
Rationale: The correct answer is D: When the client has the urge to defecate. This is the most appropriate time to take the client to the toilet as it promotes natural bowel movements and helps establish a regular pattern. Taking the client to the toilet when they have the urge to defecate encourages independence and reinforces the mind-body connection for bowel movements. Option A (Every 2 hr while the client is awake) is incorrect as it may disrupt the client's natural bowel rhythm. Option B (After the client feels abdominal cramping) is incorrect as it may lead to discomfort and potentially constipation. Option C (Immediately before the client has a meal) is incorrect as there is no direct correlation between mealtime and bowel movements.
Question 4 of 5
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?
Correct Answer: D
Rationale: The correct answer is D: Blood. The guaiac test is used to detect the presence of occult (hidden) blood in the stool, which may indicate gastrointestinal bleeding. The rationale is based on the principle that the guaiac reagent reacts with the heme portion of the blood, producing a blue color change. This test is commonly used for colorectal cancer screening and evaluation of gastrointestinal conditions.
Incorrect
Choices:
A: Steatorrhea - This refers to excessive fat in the stool, which is not detected by the guaiac test.
B: Parasites - The guaiac test does not detect parasites in the stool.
C: Bacteria - The guaiac test is not used to identify bacterial presence in the stool.
Question 5 of 5
A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Vitamin A. Vitamin A plays a crucial role in promoting wound healing by aiding in the formation of new tissue and skin cells. It also helps boost the immune system, which is essential for fighting off infections that can delay wound healing. Vitamin D (
B) is important for bone health but does not directly impact wound healing. Vitamin B1 (
C) is involved in energy production but does not have a direct role in wound healing. Calcium (
D) is essential for bone health and muscle function but is not directly related to wound healing.
Therefore, Vitamin A is the most appropriate choice for promoting wound healing among the given options.