ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who is on bed rest and is experiencing constipation. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: Increasing fluid intake can help alleviate constipation. Fluids can soften stool making it easier to pass. A low-fiber diet can actually contribute to constipation. Fiber adds bulk to the stool and helps it move more quickly through the intestines. While mineral oil can sometimes be used to relieve constipation it is not typically the first intervention chosen. It can interfere with the absorption of certain nutrients and medications. Cold fluids do not have a significant effect on constipation. While staying hydrated is important the temperature of the fluids is not typically a factor in constipation.
Question 2 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: A
Rationale: Chronic stress is a prolonged often overwhelming feeling of stress that can negatively impact a person's daily life. It can be caused by various factors including high-pressure jobs challenging relationships and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food shelter and healthcare. This continuous worry and fear can lead to chronic stress. A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person's daily life. Being a victim of a crime can indeed cause stress but it is typically considered an acute stress event. However if the crime results in long-term effects such as physical harm or psychological trauma it could potentially lead to chronic stress. The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress and the subsequent grieving process can lead to chronic stress especially if the individual has difficulty moving through the stages of grief. However not everyone who loses a loved one will experience chronic stress.
Question 3 of 5
A nurse is educating a newly licensed nurse about informed consent. Which of the following should be included as a nurse's responsibility in this process?
Correct Answer: B
Rationale: While it's important for the client to understand the alternatives to the procedure it's typically the responsibility of the physician or surgeon to explain these alternatives not the nurse. One of the nurse's responsibilities in the informed consent process is to confirm that the client is competent to sign for the procedure. This means ensuring that the client understands the procedure its risks and benefits and is making the decision voluntarily. Discussing the risks of the procedure with the client is typically the responsibility of the physician or surgeon not the nurse. While the nurse may provide some information about what will occur during the procedure it's typically the responsibility of the physician or surgeon to provide detailed information about the procedure.
Question 4 of 5
The patient with glaucoma is usually started on the lowest dose of medication. Which of the following is the preferred initial ophthalmic medication?
Correct Answer: B
Rationale: Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid but they are usually used when other treatments have not been successful. Prostaglandin analogs such as latanoprost and travoprost are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye. Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow but they are usually used when other treatments have not been successful. Beta-blockers like timolol are sometimes used as initial treatment for glaucoma but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.
Question 5 of 5
A nurse is conducting a class on stress. Which of the following would the nurse include as an example of acute stress?
Correct Answer: B
Rationale: Experiencing poverty can indeed be a source of chronic stress due to the ongoing hardships and struggles associated with financial instability. However, it is not typically classified as an example of acute stress, which is usually associated with a specific event or situation that causes a sudden and intense reaction. Being a victim of a crime is a prime example of an acute stressor. This is because it is a specific event that can cause immediate emotional and physiological reactions. The individual may experience intense feelings of fear, shock, or distress, and these reactions typically occur immediately after the event. Being part of a dysfunctional family can lead to chronic stress due to ongoing family conflicts, communication problems, or other issues. While specific incidents within the family context (like a heated argument) could potentially trigger acute stress responses, the overall experience of living in a dysfunctional family is more commonly associated with chronic stress. Experiencing racism can lead to both acute and chronic stress. Acute stress might occur in response to a specific incident of racial discrimination, while chronic stress could result from living in a society where racism is pervasive. However, without a specific incident mentioned, it is less likely to be considered an example of acute stress compared to being a victim of a crime.