ATI Text For Nursing Fundamentals Part I Practice Test
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- 1.A patient who had mastectomy 6 months ago tells the nurse that she has had not much desire for sexual relations since her surgery. "My body is different now." Which of the following is an appropriate response from the nurse?
- A.
"Really, you look just fine to me. There's no need to feel undesirable
- B.
I'm interested in finding out more about how your body feels to you".
- C.
"Consider an afternoon at a spa. A facial will make you feel more attractive"
- D.
"it is still too soon to expect to feel normal. Give it a little more time
- 2.Which of the following factors positively affect self-concept? Select all that apply
- A.
Diabetes mellitus
- B.
Parental approval
- C.
Success at school
- D.
Receiving a promotion at work
- E.
Excessive use of alcohol
- 3.A diabetic patient lost his wife 4 months ago. Tearful, he says, "How could you possible understand what I am going through?" Which of the following would be an appropriate response?
- A.
"It takes time to get over the loss of a loved one."
- B.
"You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."
- C.
"Why don't you try something to take your mind off your troubles, like watching a funny movie."
- D.
"I might not share your exact situation, but I do know what people go through when they deal with a loss."
- 4.Which of the following types of stress is being experienced by a middle adult client who is stressed by the concerns of caring for young adults still in the home and her aging parents?
- A.
Situational
- B.
Developmental
- C.
Social
- D.
Cultural
- 5.A home health nurse performs a 3-day postpartum visit for a first-time mother. The household includes her husband, her mother, and her father. What type of family form is represented here?
- A.
Nuclear
- B.
Extended
- C.
Blended
- D.
Alternative
- 6.Which of the following is a priority nursing intervention for a family with a history of violence?
- A.
Educating the family about anger management
- B.
Refining the family's communication skills
- C.
Viewing the family in context
- D.
Using the family's strengths to define them
- 7.Which of the following approaches should be used when working with a family using an open structure for coping with crisis?
- A.
Prescribing tasks unilaterally
- B.
Convening a family meeting
- C.
Delegating care to one member
- D.
Speaking to the primary client privately
- 8.Which of the following is a situational role change?
- A.
A young adult getting married for the first time
- B.
A toddler learning to control elimination
- C.
An adolescent experiencing puberty
- D.
A middle adult experiencing menopause
- 9.Once a nurse has counseled a client about her situational role changes and she has accepted them, what is the next step in her recovery?
- A.
Apprehension
- B.
Tension
- C.
Resentment
- D.
Adaptation
- 10.A nurse recognizes that a helping relationship is established with a patient if the communication...
- A.
Occurs spontaneously throughout the nurse-client relationship
- B.
Has no time limits
- C.
Is equally reciprocal between the nurse and the patient.
- D.
Encourages the patient to express his thoughts and feelings
- 11.When talking to a child who is seated, the nurse should
- A.
Touch the child
- B.
Stand facing the child
- C.
Stand with a relaxed posture
- D.
Sit at eye level with the child
- 12.Behaviors of active listening. Select all that apply:
- A.
Responding positively when giving feedback
- B.
Writing down what the client says so that details are not forgotten
- C.
Maintaining an open posture
- D.
Establishing and maintaining an eye contact
- E.
Nodding in agreement with the client throughout the conversation
- 13.Which of the following are normal aging changes of the musculoskeletal system? Select all that apply;
- A.
Wider stance resulting in posture changes
- B.
Loss of height
- C.
Increased range of motion
- D.
Increased muscle bulk
- E.
Thinning intervertebral discs
- 14.Assessment of the musculoskeletal system should start with
- A.
Measuring limb length
- B.
Testing range of motion
- C.
Inspecting for symmetry and posture
- D.
Assessing of muscle strength
- 15.During an assessment, the client reports pain on internal rotation of her right shoulder. This will most likely affect which of the following activities?.
- A.
Brushing the back of her hair
- B.
Fastening her bra behind her back
- C.
Reaching for something in a cabinet above the sink
- D.
Mopping the floor
- 16.Unilateral hypertrophy of the arm muscles is most likely seen in an individual who regularly
- A.
Lifts weights
- B.
Plays soccer
- C.
Moves furniture
- D.
Plays tennis
- 17.Dorsiflexion of the feet is assessed by instructing the client to
- A.
Point the toes toward the head
- B.
Point the toes toward the floor
- C.
Turn the soles of the feet outward
- D.
Turn the soles of the feet inward
- 18.Which of the following should be asked to assess a patient's cerebral function during a health history?
- A.
"Do your fingers feel numb and tingly?"
- B.
"Do you have difficulty remembering things?"
- C.
"Do you have any problems keeping your balance?"
- D.
"Do you have nay difficulties with your sense of taste?"
- 19.When the triceps tendon is hit with a reflex hammer, the expected response is for the elbow to
- A.
Flex
- B.
Extend
- C.
Internally rotate
- D.
Pronate
- 20.To evaluate STEREOGNOSIS, the nurse should ask the client to close his eyes and identify
- A.
A number drawn in the palm of his hand
- B.
A word whispered 30 cm from the ear
- C.
A familiar object placed in his hand
- D.
The vibration of a tuning fork placed on his foot
- 21.Which of the following is included in the assessment of the client's cognitive processes? Select all that apply
- A.
Level of consciousness
- B.
Mood
- C.
Appearance
- D.
Knowledge
- E.
Judgment
- 22.When performing a skin assessment, which of the following are normal findings? Select all that apply:
- A.
No clubbing noted
- B.
Capillary refill less than 2 seconds
- C.
3+ pitting edema in feet bilaterally
- D.
Numerous light brown macules, less than 3 mm in size, located on nose and cheeks
- E.
Shiny and thin skin without hair on shins
- 23.When assessing a skin temperature, which side of the hand should be used?
- A.
Fingertips
- B.
Dorsal surface
- C.
Palmar surface
- D.
Base of the hand
- 24.Assessment of an older adult reveals significant skin tenting over the forearm. Why?
- A.
Loss of adipose tissue and elasticity
- B.
Parchment-like skin
- C.
Significant flaking and dryness
- D.
Skin tags
- 25.A patient just had a knee arthroplasty. Which of the following should be examined to assess peripheral vascular system of the affected extremity? Select all that apply
- A.
Range of motion
- B.
Skin color
- C.
Skin temperature
- D.
Presence of skin lesions
- E.
Capillary refill
- F.
Edema
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