ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Correct Answer: A
Rationale: Gradual loss of peripheral vision is characteristic of open-angle glaucoma due to blocked drainage angles increasing intraocular pressure and damaging the optic nerve. Central vision loss is typical of macular degeneration sudden headache and nausea indicate acute angle-closure glaucoma and cloudy vision suggests cataracts.
Question 3 of 5
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs,which category should the nurse identify for the client's situation?
Correct Answer: A
Rationale: Safety is the second level of Maslow’s hierarchy of needs and it includes the needs for security stability protection and freedom from fear and anxiety. The couple who lost their house in a fire are likely experiencing a threat to their safety needs as they have lost their shelter possessions and sense of security. Higher-level needs like self-actualization esteem or love and belonging are secondary until safety is addressed.
Question 4 of 5
A client is 24 hours post-op after having a colon resection. His abdominal incision is dry and intact,but the nurse notes that bowel sounds have not returned. What condition is this client likely experiencing?
Correct Answer: A
Rationale: Paralytic ileus is a condition in which the intestinal motility is decreased or absent resulting in the inability to pass gas or stool. It is a common complication of abdominal surgery as the manipulation of the bowel can cause inflammation and nerve damage. Clostridium difficile colitis involves diarrhea not absent bowel sounds. Constipation and fecal impaction are related to opioid use or chronic issues not immediate post-op complications.
Question 5 of 5
Which of the following clients has a modifiable risk factor for osteoporosis?
Correct Answer: C
Rationale: Juanita who smokes two packs of cigarettes a day has a modifiable risk factor for osteoporosis. Smoking is a lifestyle factor that can be changed or controlled. Smoking increases the risk of osteoporosis by reducing the blood supply to the bones decreasing the absorption of calcium and lowering the levels of estrogen which protects the bones. Exercise (William) is beneficial not a risk. Family history (Samantha) and menopause (
Tori) are non-modifiable factors.