ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?
Correct Answer: B
Rationale: This statement indicates that the client does not understand the importance of a thorough evaluation by the surgeon prior to the procedure. Bariatric surgery is a major surgery that involves significant risks and benefits and requires careful consideration of the client’s medical history physical condition psychological status and readiness for lifestyle changes. The other statements reflect correct understanding of post-surgery diet surgical mechanisms and lifelong commitment.
Question 2 of 5
A nurse is talking with a client who has osteoporosis and needs to increase her vitamin D intake as part of her treatment plan. Which of the following recommendations should the nurse reinforce with the client to help ensure an adequate intake of vitamin D?
Correct Answer: A
Rationale: Vitamin D is a fat-soluble vitamin that helps the body absorb calcium and phosphorus which are essential for bone health. The main source of vitamin D is exposure to sunlight which triggers the skin to produce it. The nurse should advise the client to spend at least 15 minutes outdoors every day preferably in the morning or evening when the sun is not too strong. Cereal may be fortified with vitamin D calcium is related but not vitamin D and exercise does not directly increase vitamin D.
Question 3 of 5
The RN has completed an assessment on a client. What should the nurse do next?
Correct Answer: C
Rationale: Analyzing cues is the next step after completing an assessment. Analysis is the process of identifying patterns relationships and trends in the assessment data and comparing them with the normal and expected findings. Analysis helps the nurse to identify the patient’s problems needs strengths and risks. Reassessment occurs later interventions and SMART goals follow diagnosis which requires analysis first.
Question 4 of 5
Which of the following clients has a modifiable risk factor for osteoporosis?
Correct Answer: C
Rationale: Juanita who smokes two packs of cigarettes a day has a modifiable risk factor for osteoporosis. Smoking is a lifestyle factor that can be changed or controlled. Smoking increases the risk of osteoporosis by reducing the blood supply to the bones decreasing the absorption of calcium and lowering the levels of estrogen which protects the bones. Exercise (William) is beneficial not a risk. Family history (Samantha) and menopause (
Tori) are non-modifiable factors.
Question 5 of 5
Which statement suggests that the RN understands delegation in the concept of time management?
Correct Answer: A
Rationale: This is the correct answer because it shows that the RN understands delegation as a way of managing time effectively. Delegation is the process of assigning tasks to other members of the health care team who are competent and qualified to perform them. By working with the LPN and nursing assistant on dividing up patient care tasks the RN can ensure that the tasks are done safely efficiently and according to the scope of practice of each team member. Overtime work excessive checking or completing all tasks personally indicate poor time management and delegation skills.