Questions 54

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ATI Fundamentals Quiz Questions

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Question 1 of 5

A nurse is teaching a client who has constipation. Which of the following statements should the nurse include?

Correct Answer: A

Rationale: Increasing fluid intake softens stool, aiding in constipation relief.

Question 2 of 5

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer: D

Rationale: I will begin $48 \mathrm{hr}$ before the client's discharge.' Waiting until 48 hours before discharge does not provide enough time for thorough planning, education, or addressing potential needs after discharge. 'I will begin once the client's insurance company approves discharge coverage.' Discharge planning should not depend solely on insurance approval. It needs to be proactive and begin earlier to ensure comprehensive planning and education. 'I will begin once the client's discharge order is written.' Starting discharge planning only after the discharge order is written does not allow adequate time for preparation and may result in rushed or incomplete planning. 'I will begin upon the client's admission to the facility.' Discharge planning should start at admission. Early planning ensures that all aspects of post-discharge care are considered and allows ample time for education, coordination, and addressing potential barriers to successful discharge.

Question 3 of 5

A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that object permanence develops during which of the following stages?

Correct Answer: B

Rationale: Concrete operational: This stage (7 to 11 years) is characterized by logical thinking about concrete events. Sensorimotor: This stage (birth to about 2 years) is when infants learn about the world through their senses and actions. Object permanence-the understanding that objects continue to exist even when they cannot be seen, heard, or touched-develops in this stage. Formal operational: This stage (12 years and up) involves abstract and moral reasoning. Preoperational: This stage (2 to 7 years) is when children begin to engage in symbolic play and learn to manipulate symbols, but they don't yet understand concrete logic.

Question 4 of 5

Upon entering the client's room at the beginning of a shift and throughout the shift,the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?

Correct Answer: A

Rationale: Ongoing assessment: Ongoing assessments are continuous evaluations performed throughout the nurse's shift to monitor the client's status, response to interventions, and to adjust the care plan as needed. Focused assessment: A focused assessment is targeted on a specific problem or area of concern, rather than a general or comprehensive evaluation. Emergency assessment: An emergency assessment is rapid and focuses on identifying life-threatening conditions or urgent needs. It is not a routine, ongoing assessment. Comprehensive assessment: A comprehensive assessment is an in-depth evaluation of the client's overall health status, usually performed upon admission or during initial evaluation. It is not typically repeated throughout the shift.

Question 5 of 5

A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

Correct Answer: B

Rationale: Older Adult: Scoliosis screening is typically performed during adolescence, not in older adults. Older adults are more likely to be screened for other conditions such as osteoporosis. Pre-adolescent/adolescent: Scoliosis screening is most commonly conducted during preadolescence and adolescence, typically around 10-15 years of age, when growth spurts occur, and the spine is most susceptible to curvature.
Toddler/Preschooler: Scoliosis is rarely screened in toddlers or preschoolers. This age group focuses more on developmental milestones and immunizations. Infant: Scoliosis is not typically screened in infants. Screening for spinal curvature is more relevant during the rapid growth periods of adolescence.

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