ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
Twenty minutes after administering pain medication to the patient,the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?
Correct Answer: E
Rationale: Evaluation is the phase where the nurse measures the effectiveness of interventions by comparing actual outcomes to expected ones. Asking about pain level after medication assesses the intervention’s success fitting the evaluation phase. Other phases involve data collection diagnosis planning or action not outcome measurement.
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
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: Stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood or hyperkalemia can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium which is the KCl infusion and monitor the client’s vital signs electrocardiogram and symptoms. Administering more KCl or encouraging fluids without stopping the infusion would worsen the condition. Calling the pharmacy is secondary to stopping the infusion.
Question 4 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 5 of 5
A diabetic client states he feels depressed,is complaining of chest pain and has an open wound. Which of these complaints would require an immediate focused assessment?
Correct Answer: D
Rationale: Chest pain may indicate a life-threatening condition like a heart attack requiring immediate assessment to evaluate cardiac and respiratory function. Open wounds and depression are concerns but less urgent unless severe. Diabetes is a chronic condition not requiring immediate focus unless in crisis.