ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
The RN is using clinical judgment to determine which patient she needs to see first. What is one primary reason for prioritizing care?
Correct Answer: D
Rationale: Nurses have a limited amount of time to perform nursing interventions during a shift is a primary reason for prioritizing care. This acknowledges that nurses face time constraints and competing demands requiring clinical judgments to optimize patient health and safety. Focusing on easy tasks client preferences or completing all activities does not prioritize based on patient need or urgency.
Question 2 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.
Question 3 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: Weight-bearing exercise such as walking jogging or dancing helps to strengthen the bones and prevent osteoporosis. It also improves muscle strength balance and coordination which can reduce the risk of falls and fractures. Annual bone density scans are not needed for young adults unless specific risks are present. Magnesium supplements lack strong evidence for osteoporosis prevention. Coffee can reduce calcium absorption increasing osteoporosis risk.
Question 4 of 5
A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a barrier cream protects the skin from urine’s acidity bacteria and enzymes reducing skin breakdown risk. Soap friction and hot water can irritate or damage the skin increasing infection risk in incontinent clients.
Question 5 of 5
Which statement suggests that the RN understands delegation in the concept of time management?
Correct Answer: A
Rationale: This is the correct answer because it shows that the RN understands delegation as a way of managing time effectively. Delegation is the process of assigning tasks to other members of the health care team who are competent and qualified to perform them. By working with the LPN and nursing assistant on dividing up patient care tasks the RN can ensure that the tasks are done safely efficiently and according to the scope of practice of each team member. Overtime work excessive checking or completing all tasks personally indicate poor time management and delegation skills.