ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is getting ready to conduct a cranial nerve examination on a patient. What steps should the nurse take to examine cranial nerve XI (Spinal Accessory)?
Correct Answer: C
Rationale: Checking the patient's visual acuity using a Snellen chart is used to assess cranial nerve II (Optic) not cranial nerve XI (Spinal Accessory). Whispering in one of the patient's ears while blocking the other is a method used to assess cranial nerve VIII (Vestibulocochlear) not cranial nerve XI. Observing the patient's ability to turn their head from side to side is a correct method to assess cranial nerve XI. This nerve innervates the sternocleidomastoid and trapezius muscles which are responsible for turning the head and shrugging the shoulders respectively. Asking the patient to identify specific smells is used to assess cranial nerve I (Olfactory) not cranial nerve XI.
Question 2 of 5
A nurse overhears two assistive personnel (APs) disagreeing about patient care assignments. Which of the following actions by the nurse demonstrates conflict resolution?
Correct Answer: C
Rationale: Reporting the APs to the charge nurse may seem like an appropriate action but it does not directly address the conflict. It's important for the nurse to take an active role in conflict resolution rather than passing the responsibility to someone else. Allowing the APs to resolve their issues might be a good idea in some situations but it's not the best choice here. As a nurse it's part of your role to ensure that conflicts are resolved in a way that promotes a positive and productive work environment. By simply allowing the APs to resolve their issues you're not taking an active role in conflict resolution. Confronting the APs to discuss their argument is the best choice. This action demonstrates conflict resolution because the nurse is taking an active role in addressing the issue. By discussing the argument with the APs the nurse can help them understand each other's perspectives and find a solution that works for everyone. Telling the APs they are acting immaturely is not an effective way to resolve conflict. This approach is likely to escalate the conflict rather than resolve it. It's important to approach conflicts with a goal of understanding and resolution rather than placing blame or making judgments.
Question 3 of 5
A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?
Correct Answer: A
Rationale: The first physiological response that occurs during the General Adaptation Syndrome (GAS) is the alarm reaction stage. This stage is the body's initial response to stress where the sympathetic nervous system is activated by the sudden release of hormones. The body remaining alert while blood pressure and heart rate return to pre-stress levels is part of the resistance stage of GAS not the first physiological response. Prolonged exposure to stress resulting in illness is associated with the exhaustion stage of GAS which is the final stage not the first physiological response. An increase in hormones causing an increase in blood pressure and heart rate is part of the alarm reaction stage but it is not the first physiological response. The first response is the perception of a stressor that stimulates the central nervous system.
Question 4 of 5
A hospice nurse is caring for a patient who has terminal cancer and is receiving hospice care for stage 4 metastatic breast cancer. The patient experiences excruciating pain and is scheduled for morphine 10 mg IM every 6 hours. The patient is sleeping and the medication is due. What action should the nurse take?
Correct Answer: B
Rationale: Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep and it's important to keep the patient as comfortable as possible. If the patient is sleeping it may be because the pain is well-controlled and delaying the medication could lead to a return of pain. The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient's pain is managed effectively. Even if the patient is sleeping the medication should be given to prevent the pain from returning. Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient's pain level and the medication schedule not on the family's preferences. The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case the patient is receiving the medication for a legitimate medical reason and there is no indication of addiction.
Question 5 of 5
A nurse is conducting a class on stress. Which of the following would the nurse include as an example of acute stress?
Correct Answer: B
Rationale: Experiencing poverty can indeed be a source of chronic stress due to the ongoing hardships and struggles associated with financial instability. However, it is not typically classified as an example of acute stress, which is usually associated with a specific event or situation that causes a sudden and intense reaction. Being a victim of a crime is a prime example of an acute stressor. This is because it is a specific event that can cause immediate emotional and physiological reactions. The individual may experience intense feelings of fear, shock, or distress, and these reactions typically occur immediately after the event. Being part of a dysfunctional family can lead to chronic stress due to ongoing family conflicts, communication problems, or other issues. While specific incidents within the family context (like a heated argument) could potentially trigger acute stress responses, the overall experience of living in a dysfunctional family is more commonly associated with chronic stress. Experiencing racism can lead to both acute and chronic stress. Acute stress might occur in response to a specific incident of racial discrimination, while chronic stress could result from living in a society where racism is pervasive. However, without a specific incident mentioned, it is less likely to be considered an example of acute stress compared to being a victim of a crime.