ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
Which of the following clients has a modifiable risk factor for osteoporosis?
Correct Answer: C
Rationale: Juanita who smokes two packs of cigarettes a day has a modifiable risk factor for osteoporosis. Smoking is a lifestyle factor that can be changed or controlled. Smoking increases the risk of osteoporosis by reducing the blood supply to the bones decreasing the absorption of calcium and lowering the levels of estrogen which protects the bones. Exercise (William) is beneficial not a risk. Family history (Samantha) and menopause (
Tori) are non-modifiable factors.
Question 2 of 5
The RN asks the client to demonstrate proper use of his inhaler. This is an example of which domain of learning?
Correct Answer: C
Rationale: Psychomotor domain of learning involves the physical aspects of learning such as movement coordination and manipulation. It includes skills such as imitating practicing adapting and creating. An example of psychomotor learning is the RN asking the client to demonstrate proper use of his inhaler. Cognitive learning involves mental processes like understanding the inhaler’s purpose. Affective learning involves emotions and attitudes toward using the inhaler. Kinesthetic is a learning style not a domain.
Question 3 of 5
Physiological response to fear and anxiety includes which of the following?
Correct Answer: A
Rationale: Tachycardia is a physiological response to fear and anxiety caused by stress hormones stimulating the sympathetic nervous system increasing heart rate to prepare for fight-or-flight. Bronchial constriction worsens with anxiety but is not a direct response. Bradypnea (slow breathing) and pupillary constriction are opposite to the typical responses of increased breathing and pupil dilation.
Question 4 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 5 of 5
A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Correct Answer: A
Rationale: Gradual loss of peripheral vision is characteristic of open-angle glaucoma due to blocked drainage angles increasing intraocular pressure and damaging the optic nerve. Central vision loss is typical of macular degeneration sudden headache and nausea indicate acute angle-closure glaucoma and cloudy vision suggests cataracts.