ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A person is experiencing stress because they are worried about passing their driver's license test tomorrow. This is an example of what type of stress?
Correct Answer: B
Rationale: Situational stress is caused by a particular situation or event that the person faces such as a test. These situations create pressure uncertainty or anxiety requiring adaptation. Environmental stress involves external factors like noise daily hassles are minor annoyances and episodic stress results from chronic stress exposure none of which fit this scenario.
Question 2 of 5
The RN is developing a teaching plan for a client with a wound. Which strategy should the RN use to promote learning?
Correct Answer: C
Rationale: Repeating key concepts is an effective strategy to promote learning helping the patient remember and clarify information. Waiting 24 hours risks forgetting complex-to-simple organization may overwhelm and holding questions discourages engagement all of which hinder learning.
Question 3 of 5
A nurse on a medical-surgical unit knows that for clients with a BMI greater than or equal to 30,it is important to:
Correct Answer: B
Rationale: Using an appropriately sized blood pressure cuff is critical for clients with a BMI ≥ 30 to ensure accurate readings. Supine positioning can impair breathing in obese clients. Obesity does not indicate malnutrition/underweight. Frail bones are associated with osteoporosis not obesity though mobility issues may warrant fall precautions.
Question 4 of 5
A client has chronic back pain from a work-related injury that occurred 5 years ago. Which patient goal meets the SMART criteria?
Correct Answer: D
Rationale: The client will engage in desired activities without the pain level increasing above a pain scale level of 3 out of 10 within one month is a SMART goal. This goal is specific (desired activities pain level) measurable (pain scale) achievable (pain threshold of 3) relevant (enhances quality of life) and time-bound (within one month). Other options lack specificity measurability or time boundaries.
Question 5 of 5
The RN receives a call from the lab that a client's potassium chloride (KCl) level is 6.6 (normal range is 3.5 to 5 mEq/L). What should the nurse do first?
Correct Answer: A
Rationale: Stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood or hyperkalemia can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium which is the KCl infusion and monitor the client’s vital signs electrocardiogram and symptoms. Administering more KCl or encouraging fluids without stopping the infusion would worsen the condition. Calling the pharmacy is secondary to stopping the infusion.