ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with moderate vision impairment. What actions should the nurse take?
Correct Answer: B
Rationale: While adequate lighting is important for people with vision impairment direct lighting from open window shades can create glare which can make vision problems worse. Facing the patient when speaking to them can help the patient use visual cues to better understand the conversation. Using gestures can be helpful for some patients with vision impairment but it may not be beneficial for a patient with moderate vision impairment who may not be able to see the gestures clearly. Speaking loudly is not necessary for a patient with vision impairment unless they also have a hearing impairment.
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 teaching a class about skeletal muscles. Which of the following should the nurse identify as a function of skeletal muscles?
Correct Answer: D
Rationale: Skeletal muscles do not enable the heart to contract with each heartbeat. The heart has its own specialized muscle tissue known as cardiac muscle which allows it to contract and pump blood throughout the body. Skeletal muscles do not enable the bladder to contract during voiding. The detrusor muscle a smooth muscle found in the wall of the bladder contracts during urination to expel urine from the body. Skeletal muscles do not enable the bronchioles to dilate in the lungs. The dilation and constriction of the bronchioles are controlled by the autonomic nervous system and the smooth muscles in the walls of the bronchioles. Skeletal muscles do enable a hand to contract and form a fist. Skeletal muscles are responsible for all voluntary movements including making a fist. When you want to make a fist your brain sends a signal to the skeletal muscles in your hand and forearm telling them to contract. This pulls on the tendons connected to your fingers causing them to move and form a fist.
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 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.