ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is teaching a patient about reducing the risk for falls. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Installing handrails in the bathroom is a recommended strategy for reducing the risk of falls. Handrails provide support and stability particularly in slippery environments like the bathroom. Using a standard height toilet seat is not necessarily a recommended strategy for reducing the risk of falls. A toilet seat at an appropriate height for the individual would be more beneficial. Wearing backless shoes is not a recommended strategy for reducing the risk of falls. Shoes with good support and non-slip soles are typically recommended. Covering extension cords with a throw rug is not a recommended strategy for reducing the risk of falls. This could potentially create a tripping hazard.
Question 2 of 5
A nurse is assessing a patient who reports feeling stress and anxiety. The patient appears restless and is pacing in the room. The patient is alert and oriented to person place and time. Which of the following findings is subjective?
Correct Answer: C
Rationale: Restlessness is an observable behavior making it an objective finding. Pacing is also an observable behavior so it is considered an objective finding. Anxiety is a subjective finding because it is based on the patient's personal experience and cannot be directly observed. Alertness is an objective finding because it can be directly observed and measured.
Question 3 of 5
A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?
Correct Answer: A
Rationale: Post-traumatic stress disorder (PTS
D) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event which the patient reports experiencing. Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS it is not a stress-related disorder in the sense of being a psychological response to stress. Acute stress disorder (AS
D) is a stress-related disorder that can occur in response to a traumatic event. However ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago ASD is not the correct answer.
Question 4 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.
Question 5 of 5
During a home visit to a hospice patient the patient states 'I used to love eating strawberry ice cream but with the dietary restrictions of my condition I have not been able to have ice cream in years.' How should the nurse respond?
Correct Answer: A
Rationale: This response shows empathy and understanding towards the patient's situation. It acknowledges the patient's craving for strawberry ice cream and offers a compromise that aligns with the patient's dietary restrictions. This response may come across as insensitive and dismissive of the patient's feelings. It's important to show empathy and understanding when dealing with patients especially those in hospice care. This response may not be appropriate as it does not consider the patient's dietary restrictions. While it shows empathy it's important to respect and adhere to the patient's dietary needs. This response may not be appropriate as it does not address the patient's statement. It's important to acknowledge and respond to the patient's feelings and concerns.