ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
Question 2 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 3 of 5
A nurse administers the wrong medication to a patient. After assessing the patient the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
Correct Answer: D
Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.
Question 4 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 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.