ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who states 'I did not take my medication because my partner forgot to remind me.' The nurse should identify that the patient is demonstrating which of the following defense mechanisms?
Correct Answer: C
Rationale: Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Projection involves attributing one's own unacceptable feelings or thoughts to others. This is not the case in the scenario provided. Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario the patient is rationalizing their failure to take their medication by blaming their partner's forgetfulness. Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.
Question 2 of 5
A nurse administers the wrong medication to a patient. After assessing the patient the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
Correct Answer: D
Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.
Question 3 of 5
A nurse is conducting a mobility assessment on a patient. The patient can stand up from a seated position using a cane for support. Which of the following activity levels should the nurse assign to the patient?
Correct Answer: C
Rationale: Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case the patient is able to stand up from a seated position using a cane for support which suggests that they do not need assistance. Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane. No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support. Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
Question 4 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.
Question 5 of 5
A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?
Correct Answer: B
Rationale: While prothrombin level is an important test in evaluating blood clotting disorders it is not typically used in the initial diagnostic evaluations for a cerebrovascular accident (CV
A) or stroke. Brain CT or MRI scans are commonly used in the initial diagnostic evaluations for a CVA. These imaging tests can show bleeding in the brain an ischemic stroke a tumor or other conditions. A chest x-ray is not typically used in the initial diagnostic evaluations for a CVA. It is more commonly used to diagnose conditions affecting the lungs and heart. A lumbar puncture or spinal tap may be used in some cases to help diagnose a CVA but it is not typically part of the initial diagnostic evaluations.