ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is instructing a newly licensed nurse about age-related changes to vision in older adult patients. Which of the following should the nurse include as an example of an expected age-related change?
Correct Answer: B
Rationale: This statement is incorrect. As people age the flexibility of the lens of the eye actually decreases not increases. This can lead to conditions such as presbyopia which is difficulty focusing on close objects. As people age their depth perception can decrease. This can make it more difficult to judge distances and can increase the risk of falls. This statement is incorrect. As people age the tone of the eye muscles can decrease not increase. This can lead to conditions such as presbyopia. This statement is incorrect. As people age the natural lens of the eye can actually thicken not reduce. This can lead to conditions such as cataracts.
Question 2 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: A
Rationale: Chronic stress is a prolonged often overwhelming feeling of stress that can negatively impact a person's daily life. It can be caused by various factors including high-pressure jobs challenging relationships and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food shelter and healthcare. This continuous worry and fear can lead to chronic stress. A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person's daily life. Being a victim of a crime can indeed cause stress but it is typically considered an acute stress event. However if the crime results in long-term effects such as physical harm or psychological trauma it could potentially lead to chronic stress. The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress and the subsequent grieving process can lead to chronic stress especially if the individual has difficulty moving through the stages of grief. However not everyone who loses a loved one will experience chronic stress.
Question 3 of 5
A nurse is instructing a newly licensed nurse about age-related changes to vision in older adult patients. Which of the following should the nurse include as an example of an expected age-related change?
Correct Answer: B
Rationale: This statement is incorrect. As people age the flexibility of the lens of the eye actually decreases not increases. This can lead to conditions such as presbyopia which is difficulty focusing on close objects. As people age their depth perception can decrease. This can make it more difficult to judge distances and can increase the risk of falls. This statement is incorrect. As people age the tone of the eye muscles can decrease not increase. This can lead to conditions such as presbyopia. This statement is incorrect. As people age the natural lens of the eye can actually thicken not reduce. This can lead to conditions such as cataracts.
Question 4 of 5
Nurse's note: Client body position slumped forward in chair with head on bedside table and no eye contact. Client slow to verbally respond to Questions. Vital signs noted no change in condition at this time. Denies any pain or discomfort at this time. Requesting to speak to a chaplain at this time. Which are included in the 5 stages of grief? (Select all that apply)
Correct Answer: B,C,D,E
Rationale: Repentance is not typically included in the five stages of grief as outlined by psychiatrist Elisabeth Kübler-Ross. Bargaining is one of the five stages of grief. It often involves the individual making deals or promises to a higher power in an attempt to reverse or lessen the loss. Depression is a stage of grief where the individual may experience intense feelings of sadness hopelessness and despair. Acceptance is the final stage of grief where the individual begins to accept the reality of their loss. Anger is a stage of grief where the individual may feel intense anger towards the situation themselves or others.
Question 5 of 5
The patient with glaucoma is usually started on the lowest dose of medication. Which of the following is the preferred initial ophthalmic medication?
Correct Answer: B
Rationale: Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid but they are usually used when other treatments have not been successful. Prostaglandin analogs such as latanoprost and travoprost are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye. Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow but they are usually used when other treatments have not been successful. Beta-blockers like timolol are sometimes used as initial treatment for glaucoma but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.