ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has impaired speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing extra time to communicate with the patient is a crucial action when caring for a patient with impaired speech. This approach respects the patient's autonomy and ensures that they have the time they need to express themselves. Finishing sentences for the patient can be seen as disrespectful and may lead to frustration. It's important to allow the patient to communicate at their own pace. While open-ended questions can be useful in some situations they may be challenging for a patient with impaired speech. It might be more effective to ask yes/no questions or use other communication aids. Visual aids can be very helpful for patients with speech impairments. They can supplement verbal communication and make it easier for the patient to understand and be understood.
Question 2 of 5
A nurse is preparing to move a patient with left-sided weakness from a seated position in bed to a chair. What actions should the nurse take?
Correct Answer: A
Rationale: Locking the wheels on the patient's bed is a safety measure that should be taken to prevent the bed from moving during the transfer. Positioning the chair at a 90-degree angle to the bed could make the transfer more difficult. It's usually recommended to position the chair parallel to the bed. Elevating the patient's bed isn't typically necessary for a transfer and could potentially make the transfer more difficult. Placing the chair on the patient's left side the side of the patient's weakness could make the transfer more difficult. It's usually recommended to lead with the patient's stronger side.
Question 3 of 5
A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement if made by the client would indicate the need for further teaching?
Correct Answer: A
Rationale: Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia.
Therefore if a client made this statement it would indicate the need for further teaching. Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia. Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia. Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.
Question 4 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
Question 5 of 5
During a home visit to a hospice patient the patient states 'I used to love eating strawberry ice cream but with the dietary restrictions of my condition I have not been able to have ice cream in years.' How should the nurse respond?
Correct Answer: A
Rationale: This response shows empathy and understanding towards the patient's situation. It acknowledges the patient's craving for strawberry ice cream and offers a compromise that aligns with the patient's dietary restrictions. This response may come across as insensitive and dismissive of the patient's feelings. It's important to show empathy and understanding when dealing with patients especially those in hospice care. This response may not be appropriate as it does not consider the patient's dietary restrictions. While it shows empathy it's important to respect and adhere to the patient's dietary needs. This response may not be appropriate as it does not address the patient's statement. It's important to acknowledge and respond to the patient's feelings and concerns.