ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states,I did not take my medication because my partner forgot to remind me. The nurse should identify that the client is demonstrating which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization involves using logical explanations to justify actions as the client blames their partner for forgetting to remind them avoiding personal responsibility. Identification adopts others’ behaviors denial refuses reality and displacement redirects feelings none of which fit this scenario.
Question 2 of 5
Twenty minutes after administering pain medication to the patient,the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?
Correct Answer: E
Rationale: Evaluation is the phase where the nurse measures the effectiveness of interventions by comparing actual outcomes to expected ones. Asking about pain level after medication assesses the intervention’s success fitting the evaluation phase. Other phases involve data collection diagnosis planning or action not outcome measurement.
Question 3 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 4 of 5
Which of the following clients has a modifiable risk factor for osteoporosis?
Correct Answer: C
Rationale: Juanita who smokes two packs of cigarettes a day has a modifiable risk factor for osteoporosis. Smoking is a lifestyle factor that can be changed or controlled. Smoking increases the risk of osteoporosis by reducing the blood supply to the bones decreasing the absorption of calcium and lowering the levels of estrogen which protects the bones. Exercise (William) is beneficial not a risk. Family history (Samantha) and menopause (
Tori) are non-modifiable factors.
Question 5 of 5
Physiological response to fear and anxiety includes which of the following?
Correct Answer: A
Rationale: Tachycardia is a physiological response to fear and anxiety caused by stress hormones stimulating the sympathetic nervous system increasing heart rate to prepare for fight-or-flight. Bronchial constriction worsens with anxiety but is not a direct response. Bradypnea (slow breathing) and pupillary constriction are opposite to the typical responses of increased breathing and pupil dilation.