ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor?
Correct Answer: C
Rationale: A wrist fracture is a physical stressor not a psychological one. It involves damage to the body's structures. A burn injury like a wrist fracture is a physical stressor. It involves physical harm to the body. Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money which can cause mental and emotional stress. Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.
Question 3 of 5
A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B,D
Rationale: This statement is incorrect. Exercise actually promotes the release of endorphins which are chemicals in the brain that act as natural painkillers and mood elevators. This statement is correct. Regular exercise can help improve sleep quality and duration. This statement is incorrect. Exercise actually increases energy levels by improving circulation and heart health. This statement is correct. Regular exercise can help decrease stress and improve mood by promoting the release of endorphins.
Question 4 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
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.