ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: C
Rationale: The correct answer is C: Surgical incision. Acute pain is sudden and typically results from tissue damage or inflammation. A surgical incision is a clear example of acute pain as it is a direct result of tissue injury during the surgery. Peripheral neuropathy (
A) and fibromyalgia (
D) are chronic pain conditions. Rheumatoid arthritis (
B) is a chronic inflammatory disorder causing persistent pain. The surgical incision is the most acute and time-limited pain among the choices provided.
Question 2 of 5
A nurse is discussing time management strategies with another nurse. The nurse should include which of the following as an example of a time management strategy?
Correct Answer: D
Rationale: The correct answer is D: Complete the easiest tasks first. This strategy is effective because it helps to build momentum and motivation by quickly ticking off items on the to-do list, boosting productivity and confidence. It also frees up mental space to tackle more challenging tasks later. Planning time for disruptions (
A) is important but not a specific strategy. Offering to complete another nurse's task (
B) can be helpful but may not always be the best use of time. Skipping a meal break to catch up on charting (
C) is not a sustainable or healthy time management strategy.
Question 3 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: A
Rationale:
Correct
Answer: A: Elevate the head of the client's bed to 45° during meals.
Rationale:
1. Elevating the head to 45° helps prevent aspiration by facilitating swallowing and reducing the risk of food or liquid entering the airway.
2. This position promotes safe swallowing by allowing gravity to assist in moving food down the esophagus.
3. It also helps in protecting the client's airway and reducing the chances of choking or aspiration pneumonia.
Summary:
B: Instructing the client to tilt their head back while swallowing can actually increase the risk of aspiration.
C: Providing oral hygiene is important but does not directly reduce the risk of aspiration pneumonia.
D: Turning on the television during meals does not address the risk of aspiration pneumonia.
Question 4 of 5
A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: B
Rationale: The correct answer is B: Macular degeneration. Central vision decrease is a hallmark symptom of macular degeneration, a condition affecting the macula in the center of the retina. This area is responsible for sharp, detailed vision. Glaucoma (
A) typically presents with peripheral vision loss. Diabetic retinopathy (
C) is associated with changes in blood vessels in the retina. Cataracts (
D) cause clouding of the lens, leading to blurry vision. In summary, macular degeneration specifically affects central vision, distinguishing it from the other visual impairments listed.
Question 5 of 5
A nurse is assisting with the plan of care for a client who is immobile and is experiencing urinary retention. The nurse should plan to monitor the client for which of the following?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. Urinary retention can lead to incomplete bladder emptying, increasing the risk of UTIs due to stagnant urine providing a breeding ground for bacteria. Monitoring for UTI is crucial to prevent complications. Bladder outlet obstruction (choice
B) typically presents with difficulty starting or maintaining urine flow, not urinary retention. Protein in the urine (choice
C) may indicate kidney dysfunction, not directly related to urinary retention. Neurogenic bladder (choice
D) is a dysfunction of the bladder due to nerve damage, not a direct consequence of urinary retention in this scenario.