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 nurse notes that an elderly client has a history of osteoporosis. What safety measure should the nurse prioritize for this client?
Correct Answer: A
Rationale: Fall prevention is the most important safety measure for an elderly client with osteoporosis as falls can result in fractures and other complications. The nurse should assess the client’s risk factors for falls such as impaired vision balance or mobility and implement interventions to reduce them such as providing adequate lighting removing clutter and using assistive devices. Other measures are important but secondary to preventing fractures from falls in osteoporosis.
Question 3 of 5
The RN is using clinical judgment to determine which patient she needs to see first. What is one primary reason for prioritizing care?
Correct Answer: D
Rationale: Nurses have a limited amount of time to perform nursing interventions during a shift is a primary reason for prioritizing care. This acknowledges that nurses face time constraints and competing demands requiring clinical judgments to optimize patient health and safety. Focusing on easy tasks client preferences or completing all activities does not prioritize based on patient need or urgency.
Question 4 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.
Question 5 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.