ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a barrier cream protects the skin from urine’s acidity bacteria and enzymes reducing skin breakdown risk. Soap friction and hot water can irritate or damage the skin increasing infection risk in incontinent clients.
Question 2 of 5
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistant then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is re-checked and it has dropped even lower. The nurse first made an error in what phase of the nursing process?
Correct Answer: A
Rationale: Assessment is the first and most important phase of the nursing process as it involves collecting and analyzing data about the patient’s health status needs and preferences. The nurse should have assessed the patient’s blood pressure before administering the antihypertensive medication as it could have been contraindicated or required a dosage adjustment. By failing to do so the nurse put the patient at risk of hypotension and its complications.
Question 3 of 5
A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis. Which of the following health promotion activities should the nurse recommend?
Correct Answer: A
Rationale: Weight-bearing exercise such as walking jogging or dancing helps to strengthen the bones and prevent osteoporosis. It also improves muscle strength balance and coordination which can reduce the risk of falls and fractures. Annual bone density scans are not needed for young adults unless specific risks are present. Magnesium supplements lack strong evidence for osteoporosis prevention. Coffee can reduce calcium absorption increasing osteoporosis risk.
Question 4 of 5
A person is experiencing stress because they are worried about passing their driver's license test tomorrow. This is an example of what type of stress?
Correct Answer: B
Rationale: Situational stress is caused by a particular situation or event that the person faces such as a test. These situations create pressure uncertainty or anxiety requiring adaptation. Environmental stress involves external factors like noise daily hassles are minor annoyances and episodic stress results from chronic stress exposure none of which fit this scenario.
Question 5 of 5
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs,which category should the nurse identify for the client's situation?
Correct Answer: A
Rationale: Safety is the second level of Maslow’s hierarchy of needs and it includes the needs for security stability protection and freedom from fear and anxiety. The couple who lost their house in a fire are likely experiencing a threat to their safety needs as they have lost their shelter possessions and sense of security. Higher-level needs like self-actualization esteem or love and belonging are secondary until safety is addressed.