ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
The RN has completed an assessment on a client. What should the nurse do next?
Correct Answer: C
Rationale: The correct answer is C: Analyze cues. After completing the assessment, the nurse should analyze the data collected to identify patterns, anomalies, and potential health issues. This step is crucial for developing an accurate nursing diagnosis and creating effective nursing interventions. Reassessing the patient (
Choice
A) may be necessary later but is not the immediate next step. Writing nursing interventions (
Choice
B) and creating SMART goals (
Choice
D) should be based on the analysis of cues. Other choices are not relevant to the immediate post-assessment process.
Question 2 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: The correct answer is A: Safety. In Maslow's hierarchy of needs, safety needs are prioritized after physiological needs. The couple just lost their house in a fire, which poses a threat to their physical safety. Addressing safety needs is crucial before moving on to higher-level needs like self-actualization, esteem, or love and belonging. Safety includes physical safety as well as financial and emotional security, all of which are relevant in this situation.
Choices B, C, and D are incorrect because self-actualization, esteem, and love and belonging needs are higher-level needs that are considered once lower-level needs, like safety, are met.
Question 3 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: The correct answer is A: Stop the KCl infusion. A potassium level of 6.6 mEq/L is elevated and poses a risk of hyperkalemia, which can lead to serious cardiac complications. Stopping the KCl infusion is the priority to prevent further potassium increase. Administering oral KCl (
B) would worsen the situation. Encouraging fluids (
C) may dilute the potassium but is not immediate. Calling the pharmacy (
D) is not urgent in this case.
Question 4 of 5
A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis. Which of the following health promotion activities should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Engaging in weight-bearing exercise regularly. Weight-bearing exercises such as walking, running, and weightlifting help to strengthen bones and reduce the risk of osteoporosis. These activities promote bone density and overall bone health. Having a bone density scan every year (
B) is not necessary for a young adult with a family history of osteoporosis unless there are specific risk factors present. Taking a magnesium supplement every day (
C) may be beneficial for bone health, but it is not the primary recommendation for prevention. Drinking a cup of coffee every morning (
D) is not directly related to osteoporosis prevention and may even have negative effects on bone health if consumed excessively.
Question 5 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: The correct answer is A: Fall prevention. Elderly clients with osteoporosis are at increased risk for fractures due to weakened bones. Fall prevention is crucial to avoid potentially serious injuries. This includes ensuring a safe environment, using assistive devices, and educating the client on fall prevention strategies. Pressure injury prevention (
B) is important but not the priority in this case. Cognitive impairment prevention (
C) and functional decline prevention (
D) are important but do not directly address the immediate safety concern of osteoporosis-related fractures.