ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching to an older adult client who has kyphosis and osteoporosis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Increasing daily intake of calcium and vitamin D is crucial for older adults with kyphosis and osteoporosis to support bone health and prevent further bone loss. Calcium is essential for bone strength, while vitamin D aids in calcium absorption. This statement shows an understanding of the importance of nutritional support for bone health.
Summary:
B: Scheduling an electrophysiologic study is unrelated to managing kyphosis and osteoporosis.
C: Wearing a neck brace does not address the main concerns of kyphosis and osteoporosis.
D: Avoiding weight-bearing exercise can actually worsen osteoporosis as weight-bearing exercises help maintain bone density.
Question 2 of 5
A nurse is caring for a client who reports using alcohol and controlled substances to cope with the death of their partner. The nurse should identify that maladaptive coping is an indication of which of the following types of complicated grief?
Correct Answer: B
Rationale: The correct answer is B: Exaggerated grief. This type of complicated grief involves intense emotional responses that may lead to maladaptive coping mechanisms such as substance abuse. Exaggerated grief is characterized by persistent and overwhelming sorrow that interferes with daily functioning. In this scenario, the client's use of alcohol and controlled substances to cope indicates maladaptive coping strategies, which align with the characteristics of exaggerated grief.
Incorrect
Choices:
A: Chronic grief refers to long-lasting grief that persists over time. While substance abuse may be present in chronic grief, the key characteristic of chronic grief is its prolonged duration.
C: Delayed grief involves a significant delay in the expression of grief following a loss. The client in the scenario is actively coping with the loss through substance use, indicating a more immediate response.
D: Masked grief involves expressing grief through behaviors that may not be recognized as related to the loss. In this case, the client is directly using substances to cope, making masked grief less applicable.
Question 3 of 5
A nurse is preparing to administer diazepam 2 mg twice daily via NG tube. Available is diazepam oral solution 5 mg/1 mL. How many mL should the nurse administer with each dose?
Correct Answer: A
Rationale: The correct answer is A: 0.4 mL.
To calculate the correct dose to administer, we first need to determine the total daily dose (2 mg twice daily = 4 mg total).
Then, we use the concentration of the oral solution (5 mg/1 mL) to calculate how many mL is needed to deliver the total dose. In this case, 4 mg ÷ 5 mg/mL = 0.8 mL per dose. Since the question asks for the amount per dose, we divide this by 2 to get 0.4 mL for each dose.
Therefore, the nurse should administer 0.4 mL with each dose.
Choices B, C, and D are incorrect because they do not accurately calculate the dose based on the provided information.
Question 4 of 5
A nurse is providing discharge teaching to a client who will be using a cane to maintain mobility at home following a left knee arthroplasty. Which of the following statements by the client indicates an understanding of the safe use of a cane?
Correct Answer: B
Rationale: The correct answer is B: "I will put the cane next to my right leg when I walk." Placing the cane next to the unaffected side (right leg) helps to provide support and stability when walking with the left knee arthroplasty. This position allows for the cane to bear weight and help with balance while reducing stress on the affected knee. Placing the cane on the same side as the affected leg (left leg) would not provide the necessary support. Other answer choices are incorrect because: A: Using the cane to support body weight alone may not provide proper balance and support for the affected knee. C: The type of cane is less important than the proper technique for using it. D: Moving the right leg forward first may not provide the optimal balance and support needed for the left knee arthroplasty.
Question 5 of 5
A nurse is reviewing data in a client's medical record. Which of the following information should the nurse expect to find in the discharge summary section?
Correct Answer: C
Rationale: The correct answer is C: List of community resources. In the discharge summary section, the nurse should expect to find information about resources available to the client after discharge to support their continued care and well-being. This includes referrals to community services such as home health agencies, support groups, counseling services, or rehabilitation facilities. This information is crucial for the client's successful transition from the hospital to their home environment. The other choices are incorrect because emergency contact information is usually found in a separate section, intake and output summary is part of the client's daily care record, and basic demographic data is typically included in the client's admission documentation.