ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
Which of the following are physical changes that occur in middle adulthood? Select all that apply.
Correct Answer: A,C,E,F
Rationale: A. Increased subcutaneous fat: Middle adulthood often sees an increase in fat deposits, particularly around the abdomen, due to changes in metabolism and hormonal shifts. B. Increased skin turgor and moisture: Incorrect. Aging typically leads to decreased skin turgor and moisture, causing the skin to become drier and less elastic. C. Decreased bone density: Bone density generally decreases due to reduced bone remodeling, increasing the risk of fractures and osteoporosis. D. The skin is more elastic: Incorrect. Skin elasticity usually decreases with age, resulting in wrinkles and sagging. E. Muscle mass gradually decreases: Muscle mass tends to decline with age, a condition known as sarcopenia, leading to reduced strength and physical capability. F. Decreased auditory acuity: Hearing loss, particularly high-frequency hearing loss, is common as people age due to changes in the inner ear and other auditory structures.
Question 2 of 5
A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?
Correct Answer: D
Rationale: I will begin $48 \mathrm{hr}$ before the client's discharge.' Waiting until 48 hours before discharge does not provide enough time for thorough planning, education, or addressing potential needs after discharge. 'I will begin once the client's insurance company approves discharge coverage.' Discharge planning should not depend solely on insurance approval. It needs to be proactive and begin earlier to ensure comprehensive planning and education. 'I will begin once the client's discharge order is written.' Starting discharge planning only after the discharge order is written does not allow adequate time for preparation and may result in rushed or incomplete planning. 'I will begin upon the client's admission to the facility.' Discharge planning should start at admission. Early planning ensures that all aspects of post-discharge care are considered and allows ample time for education, coordination, and addressing potential barriers to successful discharge.
Question 3 of 5
A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Correct Answer: D
Rationale: Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.
Question 4 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Correct Answer: A
Rationale: Ask the client to read a Snellen chart: Cranial nerve II (Optic nerve) is responsible for vision. Assessing the client's ability to read a Snellen chart tests visual acuity, which is a function of cranial nerve II. Listen to the client's speech: This assesses cranial nerves V (Trigeminal) and VII (Facial), which are involved in speech and facial sensation. Ask the client to clench his teeth: This assesses cranial nerve V (Trigeminal), which controls jaw movement and sensation. Ask the client to identify scented aromas: This assesses cranial nerve I (Olfactory), which is responsible for the sense of smell.
Question 5 of 5
A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that object permanence develops during which of the following stages?
Correct Answer: B
Rationale: Concrete operational: This stage (7 to 11 years) is characterized by logical thinking about concrete events. Sensorimotor: This stage (birth to about 2 years) is when infants learn about the world through their senses and actions. Object permanence-the understanding that objects continue to exist even when they cannot be seen, heard, or touched-develops in this stage. Formal operational: This stage (12 years and up) involves abstract and moral reasoning. Preoperational: This stage (2 to 7 years) is when children begin to engage in symbolic play and learn to manipulate symbols, but they don't yet understand concrete logic.