ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a physiological stressor?
Correct Answer: B
Rationale: Academic pressure is a psychological stressor not a physiological one. It involves mental or emotional strain or tension resulting from adverse or demanding circumstances in this case related to academic performance. A burn injury is an example of a physiological stressor. Physiological stressors are related to physical or biological factors that strain the body's resources. A burn injury places physical stress on the body as it tries to heal and recover. Financial difficulties are a type of environmental stressor not a physiological one. They involve external factors in a person's environment that cause stress such as financial problems or job-related stress. A change in marital status is a type of psychosocial stressor not a physiological one. It involves both psychological factors (such as emotions and behavior) and social factors (such as relationships and social interactions).
Question 2 of 5
A nurse is caring for a patient who states 'I did not take my medication because my partner forgot to remind me.' The nurse should identify that the patient is demonstrating which of the following defense mechanisms?
Correct Answer: C
Rationale: Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Projection involves attributing one's own unacceptable feelings or thoughts to others. This is not the case in the scenario provided. Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario the patient is rationalizing their failure to take their medication by blaming their partner's forgetfulness. Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.
Question 3 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
Question 4 of 5
A nurse is conducting a mobility assessment on a patient. The patient can stand up from a seated position using a cane for support. Which of the following activity levels should the nurse assign to the patient?
Correct Answer: C
Rationale: Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case the patient is able to stand up from a seated position using a cane for support which suggests that they do not need assistance. Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane. No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support. Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
Question 5 of 5
While assessing the breath sounds of a client with Parkinson's disease a nurse hears adventitious sounds. How should the client's nutritional needs be met?
Correct Answer: A
Rationale: For a client with Parkinson's disease who has difficulty swallowing or chewing due to muscle rigidity semi-solid food with thick liquids can be easier to swallow and reduce the risk of choking. Minced foods and fluid restriction may not provide the necessary nutrients and hydration for a client with Parkinson's disease. A low-residue diet which is low in fiber may not be appropriate for a client with Parkinson's disease as constipation is a common symptom of the disease and fiber can help alleviate this.
Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. It is typically reserved for clients who cannot or should not get their nutrition through eating.