ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?
Correct Answer: B
Rationale: While prothrombin level is an important test in evaluating blood clotting disorders it is not typically used in the initial diagnostic evaluations for a cerebrovascular accident (CV
A) or stroke. Brain CT or MRI scans are commonly used in the initial diagnostic evaluations for a CVA. These imaging tests can show bleeding in the brain an ischemic stroke a tumor or other conditions. A chest x-ray is not typically used in the initial diagnostic evaluations for a CVA. It is more commonly used to diagnose conditions affecting the lungs and heart. A lumbar puncture or spinal tap may be used in some cases to help diagnose a CVA but it is not typically part of the initial diagnostic evaluations.
Question 2 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: A
Rationale: Chronic stress is a prolonged often overwhelming feeling of stress that can negatively impact a person's daily life. It can be caused by various factors including high-pressure jobs challenging relationships and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food shelter and healthcare. This continuous worry and fear can lead to chronic stress. A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person's daily life. Being a victim of a crime can indeed cause stress but it is typically considered an acute stress event. However if the crime results in long-term effects such as physical harm or psychological trauma it could potentially lead to chronic stress. The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress and the subsequent grieving process can lead to chronic stress especially if the individual has difficulty moving through the stages of grief. However not everyone who loses a loved one will experience chronic stress.
Question 3 of 5
A nurse is conducting a class on stress. Which of the following would the nurse include as an example of acute stress?
Correct Answer: B
Rationale: Experiencing poverty can indeed be a source of chronic stress due to the ongoing hardships and struggles associated with financial instability. However, it is not typically classified as an example of acute stress, which is usually associated with a specific event or situation that causes a sudden and intense reaction. Being a victim of a crime is a prime example of an acute stressor. This is because it is a specific event that can cause immediate emotional and physiological reactions. The individual may experience intense feelings of fear, shock, or distress, and these reactions typically occur immediately after the event. Being part of a dysfunctional family can lead to chronic stress due to ongoing family conflicts, communication problems, or other issues. While specific incidents within the family context (like a heated argument) could potentially trigger acute stress responses, the overall experience of living in a dysfunctional family is more commonly associated with chronic stress. Experiencing racism can lead to both acute and chronic stress. Acute stress might occur in response to a specific incident of racial discrimination, while chronic stress could result from living in a society where racism is pervasive. However, without a specific incident mentioned, it is less likely to be considered an example of acute stress compared to being a victim of a crime.
Question 4 of 5
The nurse is providing care for an 82-year-old man whose signs and symptoms of Parkinson's disease have worsened over the past several months. The man states that he can no longer do as many things for himself as he used to be able to. What factor should the nurse recognize as impacting the client's life most significantly?
Correct Answer: B
Rationale: While tremors and decreased mobility are common symptoms of Parkinson's disease they are not the most significant impact on a patient's life. These physical symptoms can be managed with medication and physical therapy. Loss of independence is often the most significant impact on a patient's life. As the disease progresses patients may find it increasingly difficult to perform daily activities and may require assistance. Age-related changes can contribute to the progression of Parkinson's disease but they are not the most significant impact on a patient's life. The disease itself rather than aging is the primary cause of the symptoms. Neurologic deficits are a result of Parkinson's disease but they are not the most significant impact on a patient's life. The loss of independence that results from these deficits is often more impactful.
Question 5 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 psychological stressor?
Correct Answer: C
Rationale: A wrist fracture is a physical stressor not a psychological one. It involves damage to the body's structures. A burn injury like a wrist fracture is a physical stressor. It involves physical harm to the body. Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money which can cause mental and emotional stress. Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.