ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse is teaching the patient about different stages of sleep. The nurse knows that REM sleep includes which one of the following?
Correct Answer: C
Rationale: REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a different role in physiological and cognitive functioning.
Question 2 of 5
The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?
Correct Answer: D
Rationale: Napping during the day can interfere with a person's ability to sleep at night, especially if it is done for long periods or close to bedtime. The nurse can provide education on proper sleep hygiene and recommend ways to establish a consistent sleep schedule that promotes restful sleep, such as avoiding caffeine and alcohol, practicing relaxation techniques, and limiting exposure to electronic devices before bedtime.
Question 3 of 5
In the SBAR reporting system, which of the following would be an example of a recommendation?
Correct Answer: B
Rationale: In the SBAR (Situation, Background, Assessment, Recommendation) reporting system, a recommendation involves suggesting a specific action or intervention. 'Ms. Choi needs to have a social construct' implies a recommended action, making it the correct choice. The other options provide situation, assessment, or background information but do not suggest a specific action.
Question 4 of 5
A patient is admitted to the floor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?
Correct Answer: C
Rationale: When a patient is admitted with a complaint of chest pain, the priority assessment would be to determine whether the patient is experiencing an acute cardiac event, such as a heart attack. This would involve a comprehensive assessment that includes obtaining the patient's medical history, vital signs, performing a physical exam, and obtaining an electrocardiogram (ECG). Auscultation of the heart is a critical step in assessing for cardiac abnormalities.
Question 5 of 5
The nurse should utilize what type of precaution when palpating the lips in a healthy adult?
Correct Answer: C
Rationale: Standard precautions refer to the basic infection prevention measures that should be taken with all patients, regardless of their known or suspected infection status. This includes hand hygiene, the use of personal protective equipment (such as gloves), and the proper handling and disposal of contaminated items. Palpating the lips of a healthy adult does not require additional precautions unless an infection is suspected.