ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Correct Answer: A
Rationale: The correct answer is A: Gradual loss of peripheral vision. In open-angle glaucoma, the drainage angle of the eye becomes blocked over time, leading to increased intraocular pressure and damage to the optic nerve. This results in a gradual loss of peripheral vision.
Choice B, gradual loss of central vision, is more characteristic of macular degeneration.
Choice C, sudden headache and nausea, is more indicative of acute angle-closure glaucoma.
Choice D, cloudy blurred vision, is not typically associated with open-angle glaucoma.
Question 2 of 5
When shown an Amsler grid,the client reports seeing wavy distorted lines. The client also states his center of vision is dark and he has no sense of depth perception. The nurse suspects the client has which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Macular degeneration. The symptoms described, such as seeing wavy distorted lines on the Amsler grid, dark center of vision, and loss of depth perception, are classic signs of macular degeneration. This condition affects the macula, the central part of the retina responsible for sharp, central vision. The distortion in vision results from damage to the macula, leading to visual disturbances. Cataracts (
A) cause clouding of the lens but do not typically result in these specific symptoms. Glaucoma (
B) is characterized by increased intraocular pressure and affects peripheral vision, not central vision. Retinal detachment (
D) involves detachment of the retina from its underlying tissue and presents with sudden onset of floaters or flashes of light, not the described symptoms.
Question 3 of 5
The RN is developing a teaching plan for a client with a wound. Which strategy should the RN use to promote learning?
Correct Answer: C
Rationale: The correct answer is C: Repeat the key concepts. Repetition helps reinforce learning and retention. By repeating key concepts, the RN ensures that the client understands and remembers important information about wound care. This strategy enhances comprehension and helps the client apply the knowledge effectively. Encouraging questions and clarifications during the teaching session promotes active learning. Other choices are incorrect because:
A) Delaying application of new knowledge can hinder retention.
B) Organizing content from complex to simple may overwhelm the client.
D) Holding questions until the end may lead to confusion or missed opportunities for clarification.
Question 4 of 5
A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Prunes. Prunes are a high-fiber food that can lead to loose stools and diarrhea if consumed in excess. Fiber helps retain water in the stool, increasing its bulk and promoting bowel movements.
Therefore, the nurse should include prunes in the teaching as a potential cause of diarrhea.
A: White rice is a low-fiber food that is typically recommended for individuals with diarrhea to help firm up stools.
B: Ripe bananas are also low in fiber and can help alleviate diarrhea due to their binding properties.
C: Low-fiber cereal may be easier on the digestive system and less likely to cause diarrhea compared to high-fiber cereals.
Question 5 of 5
Twenty minutes after administering pain medication to the patient,the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?
Correct Answer: E
Rationale: The correct answer is E: Evaluation. In this scenario, the nurse is assessing the effectiveness of the pain medication administered earlier. Evaluation is the phase of the nursing process where the nurse determines the patient's response to interventions. By checking if the patient's pain level has decreased, the nurse is evaluating the outcome of the implemented intervention (pain medication administration). The other choices are incorrect because: A: Assessment is the collection of data about the patient's condition, B: Analysis/Diagnosis involves identifying the patient's health problems, C: Planning is developing a plan of care based on the assessment and diagnosis, and D: Implementation is carrying out the planned interventions.