ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?
Correct Answer: A
Rationale: Post-traumatic stress disorder (PTS
D) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event which the patient reports experiencing. Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS it is not a stress-related disorder in the sense of being a psychological response to stress. Acute stress disorder (AS
D) is a stress-related disorder that can occur in response to a traumatic event. However ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago ASD is not the correct answer.
Question 4 of 5
A nurse is preparing to reposition a patient. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Before repositioning a patient the nurse should first elevate the height of the patient's bed. This allows the nurse to work at a comfortable height and reduces the risk of injury. While tightening the abdominal muscles can help with lifting and moving it is not the first action the nurse should take when preparing to reposition a patient. Positioning the feet in line with the shoulders can provide a stable base of support when moving or lifting. However this is not the first action the nurse should take when preparing to reposition a patient. Pivoting the feet in the direction of the move can help with turning and moving. However this is not the first action the nurse should take when preparing to reposition a patient.
Question 5 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.