Questions 45

ATI RN

ATI RN Test Bank

ATI Fundamentals Exam Questions

Extract:


Question 1 of 5

A patient is admitted to a rehabilitation facility following stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

Correct Answer: A

Rationale: Tertiary prevention involves interventions aimed at reducing the long-term effects of a disease or injury, improving quality of life, and preventing further complications. Rehabilitation services post-stroke align with this level.

Question 2 of 5

The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take assessing the respiratory system?

Correct Answer: A

Rationale:
To properly assess for respiratory complications related to immobility, the nurse should auscultate all lung fields to detect abnormal lung sounds such as crackles, wheezes, or decreased breath sounds. This thorough assessment helps identify early signs of respiratory compromise, such as atelectasis or pneumonia.

Question 3 of 5

A client smoking in his bathroom has dropped a cigarette butt into wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?

Correct Answer: A

Rationale: The nurse's priority is to activate the fire alarm immediately to alert others in the building, ensuring a timely evacuation and response.

Question 4 of 5

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?

Correct Answer: C

Rationale: Adolescents experience significant physical and cognitive growth, which increases their need for sleep. The nurse should encourage adolescents to prioritize adequate sleep, as it is essential for physical development, emotional well-being, and overall health.

Question 5 of 5

A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

Correct Answer: C

Rationale: According to Maslow’s hierarchy, the most immediate priority is addressing physiological needs such as food. Ensuring the patient’s basic physiological needs are met, such as eating, should be the nurse's first priority.

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