ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient's electronic medical record. Which of the following findings places the patient at risk for a surgical complication? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: High glucose levels can indicate uncontrolled diabetes which can increase the risk of surgical complications such as infection and poor wound healing. Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis especially in patients undergoing procedures that involve the use of contrast dye. A history of smoking can increase the risk of surgical complications including poor wound healing infection and lung problems. An elevated white blood cell (WB
C) count can indicate an infection or inflammation in the body which can increase the risk of surgical complications. Type 2 diabetes mellitus can increase the risk of surgical complications including infection poor wound healing and cardiovascular complications.
Question 2 of 5
A nurse is caring for a patient who has cancer and is receiving palliative care. Which of the following statements by the patient indicates an understanding of this type of treatment?
Correct Answer: C
Rationale: While palliative care can indeed help improve a patient's quality of life it is not typically aimed at curing the disease or significantly prolonging life. Instead the focus is on managing symptoms and improving comfort.
Therefore the statement 'This treatment should help me live a little longer and give me hope for a cure' does not accurately reflect the goals of palliative care. The statement 'I will continue my strict dietary plan' does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context. The statement 'I am hoping this will limit my discomfort and give me the best quality of life for me' accurately reflects the goals of palliative care. Palliative care aims to manage symptoms including pain and discomfort and to improve the patient's quality of life. The statement 'This is not working and I plan to stop treatment' does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.
Question 3 of 5
In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome which of the following symptoms would the nurse expect to observe?
Correct Answer: A
Rationale: Ascending muscle weakness is a classic symptom of Guillain-Barre syndrome. It often starts in the feet and legs before spreading to the upper body and arms. Difficulty with urination is not a typical symptom of Guillain-Barre syndrome. Ptosis (drooping of the upper eyelid) and diplopia (double vision) are not common symptoms of Guillain-Barre syndrome. Ear distortion and pain are not associated with Guillain-Barre syndrome.
Question 4 of 5
Nurse's note: Client body position slumped forward in chair with head on bedside table and no eye contact. Client slow to verbally respond to Questions. Vital signs noted no change in condition at this time. Denies any pain or discomfort at this time. Requesting to speak to a chaplain at this time. Which are included in the 5 stages of grief? (Select all that apply)
Correct Answer: B,C,D,E
Rationale: Repentance is not typically included in the five stages of grief as outlined by psychiatrist Elisabeth Kübler-Ross. Bargaining is one of the five stages of grief. It often involves the individual making deals or promises to a higher power in an attempt to reverse or lessen the loss. Depression is a stage of grief where the individual may experience intense feelings of sadness hopelessness and despair. Acceptance is the final stage of grief where the individual begins to accept the reality of their loss. Anger is a stage of grief where the individual may feel intense anger towards the situation themselves or others.
Question 5 of 5
A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?
Correct Answer: A
Rationale: Post-traumatic stress disorder (PTS
D) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event which the patient reports experiencing. Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS it is not a stress-related disorder in the sense of being a psychological response to stress. Acute stress disorder (AS
D) is a stress-related disorder that can occur in response to a traumatic event. However ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago ASD is not the correct answer.