ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
Which intervention is an example of the RN working in a health promotion role through primary prevention?
Correct Answer: A
Rationale: Administering a vaccine to a well child is an example of primary prevention which aims to prevent disease before it occurs by reducing risk factors. Vaccines protect against infectious diseases. The other options involve secondary (wound care) or tertiary (glucose monitoring nebulizer) prevention addressing existing conditions or complications.
Question 2 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 3 of 5
A nurse on a medical-surgical unit knows that for clients with a BMI greater than or equal to 30,it is important to:
Correct Answer: B
Rationale: Using an appropriately sized blood pressure cuff is critical for clients with a BMI ≥ 30 to ensure accurate readings. Supine positioning can impair breathing in obese clients. Obesity does not indicate malnutrition/underweight. Frail bones are associated with osteoporosis not obesity though mobility issues may warrant fall precautions.
Question 4 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 5 of 5
A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?
Correct Answer: B
Rationale: This statement indicates that the client does not understand the importance of a thorough evaluation by the surgeon prior to the procedure. Bariatric surgery is a major surgery that involves significant risks and benefits and requires careful consideration of the client’s medical history physical condition psychological status and readiness for lifestyle changes. The other statements reflect correct understanding of post-surgery diet surgical mechanisms and lifelong commitment.