ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
The RN is developing a teaching plan for a client with a wound. Which strategy should the RN use to promote learning?
Correct Answer: C
Rationale: Repeating key concepts is an effective strategy to promote learning helping the patient remember and clarify information. Waiting 24 hours risks forgetting complex-to-simple organization may overwhelm and holding questions discourages engagement all of which hinder learning.
Question 2 of 5
The RN has completed an assessment on a client. What should the nurse do next?
Correct Answer: C
Rationale: Analyzing cues is the next step after completing an assessment. Analysis is the process of identifying patterns relationships and trends in the assessment data and comparing them with the normal and expected findings. Analysis helps the nurse to identify the patient’s problems needs strengths and risks. Reassessment occurs later interventions and SMART goals follow diagnosis which requires analysis first.
Question 3 of 5
A client presents in the emergency room with a penetrating eye injury. The object is still present in the eye. Which nursing action is priority?
Correct Answer: A
Rationale: Stabilizing the object is the priority nursing action for a penetrating eye injury. Stabilizing the object prevents further damage to the eye structures and reduces the risk of infection and bleeding. The nurse should use a protective shield or cup to cover the eye and secure the object in place and avoid applying any pressure or movement to the eye. Applying anesthetic drops removing the object or using ointment could worsen the injury and are not initial priorities.
Question 4 of 5
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistant then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is re-checked and it has dropped even lower. The nurse first made an error in what phase of the nursing process?
Correct Answer: A
Rationale: Assessment is the first and most important phase of the nursing process as it involves collecting and analyzing data about the patient’s health status needs and preferences. The nurse should have assessed the patient’s blood pressure before administering the antihypertensive medication as it could have been contraindicated or required a dosage adjustment. By failing to do so the nurse put the patient at risk of hypotension and its complications.
Question 5 of 5
A nurse is talking with a client who has osteoporosis and needs to increase her vitamin D intake as part of her treatment plan. Which of the following recommendations should the nurse reinforce with the client to help ensure an adequate intake of vitamin D?
Correct Answer: A
Rationale: Vitamin D is a fat-soluble vitamin that helps the body absorb calcium and phosphorus which are essential for bone health. The main source of vitamin D is exposure to sunlight which triggers the skin to produce it. The nurse should advise the client to spend at least 15 minutes outdoors every day preferably in the morning or evening when the sun is not too strong. Cereal may be fortified with vitamin D calcium is related but not vitamin D and exercise does not directly increase vitamin D.