ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is teaching a group of older adults about risk factors for developing a stroke. Which non-modifiable risk factors should the nurse include in the teaching?
Correct Answer: B
Rationale: While hypertension is a risk factor for stroke it is a modifiable risk factor. This means it can be controlled and managed through lifestyle changes and medication. Family history is a non-modifiable risk factor for stroke. If a close family member like a parent or sibling has had a stroke a person's risk of stroke is slightly higher. Smoking is a modifiable risk factor for stroke. Quitting smoking can significantly reduce the risk of stroke. Obesity is a modifiable risk factor for stroke. Maintaining a healthy weight through diet and regular exercise can help reduce the risk of stroke.
Question 2 of 5
In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome which of the following symptoms would the nurse expect to observe?
Correct Answer: A
Rationale: Ascending muscle weakness is a classic symptom of Guillain-Barre syndrome. It often starts in the feet and legs before spreading to the upper body and arms. Difficulty with urination is not a typical symptom of Guillain-Barre syndrome. Ptosis (drooping of the upper eyelid) and diplopia (double vision) are not common symptoms of Guillain-Barre syndrome. Ear distortion and pain are not associated with Guillain-Barre syndrome.
Question 3 of 5
A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement if made by the client would indicate the need for further teaching?
Correct Answer: A
Rationale: Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia.
Therefore if a client made this statement it would indicate the need for further teaching. Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia. Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia. Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.
Question 4 of 5
A nurse administers the wrong medication to a patient. After assessing the patient the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
Correct Answer: D
Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.
Question 5 of 5
A nurse is reviewing a fall risk assessment for a client. Which of the following findings place the client at risk for a fall? Select all that apply.
Correct Answer: A,C,D
Rationale: An electrical cord on the floor over a walkway can pose a tripping hazard increasing the risk of falls. It's important to keep walkways clear of any obstacles to prevent falls. Using a cane to ambulate does not necessarily increase the risk of falls. In fact canes are often used to improve balance and stability reducing the risk of falls. However it's important that the cane is used correctly and is the right height for the individual. Unsecured throw rugs especially over a slippery surface like a tile floor can easily cause someone to slip and fall. It's recommended to secure rugs with non-slip backing or remove them entirely from high-traffic areas. Macular degeneration can lead to vision loss which can increase the risk of falls. Individuals with vision impairments may not be able to see hazards in their path making them more prone to falls.