Nursing Process 1 Test Questions

Questions 68

ATI RN

ATI RN Test Bank

Nursing Process 1 Test Questions Questions

Question 1 of 5

The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?

Correct Answer: A

Rationale: The correct answer is A: Fasciculations. Fasciculations are involuntary muscle twitches commonly seen with neurological conditions like motor neuron disease. In this case, the patient's muscle weakness and frequent muscle twitching indicate possible nerve damage. Chorea (B) is characterized by involuntary, jerky movements, not twitching. Atrophy (C) refers to muscle wasting, not twitching. Neuropathy (D) is a general term for nerve damage and does not specifically describe the muscle twitching seen in this patient.

Question 2 of 5

A male client who is HIV positive is admitted to the hospital with a diagnosis of Pneumocystis carinii pneumonia. His live-in partner has accompanied him. During the history interview, the nurse is aware of feeling a negative attitude about the client�s lifestyle, what action is most appropriate?

Correct Answer: B

Rationale: The correct answer is B: Discuss the negative feelings with the client. This is the most appropriate action as it allows the nurse to address and manage their own biases and attitudes towards the client in a professional and constructive manner. By acknowledging and discussing these feelings with the client, the nurse can work towards providing non-judgmental care and fostering a therapeutic relationship. A: Sharing these feelings with the client is not appropriate as it can harm the nurse-client relationship and potentially lead to discrimination. C: Developing a written interview form is not addressing the immediate issue of the nurse's negative attitude towards the client. D: Avoiding eye contact with the client is unprofessional and does not address the underlying issue of the nurse's negative feelings.

Question 3 of 5

What should be included in the teaching plan to young adults about the spread of AIDS?

Correct Answer: A

Rationale: The correct answer is A because educating young adults about the rise in heterosexual transmission of HIV is crucial to prevent the spread of AIDS. This information helps them understand the importance of safe sex practices and awareness of risks. Choice B is incorrect as HIV transmission in children is not primarily due to sexual abuse. Choice C is also incorrect as herpes zoster is not a form of the HIV virus. Choice D is incorrect as transmission by IV drug users is not prominent with sterile equipment use. Focusing on the rise in heterosexual transmission is key in teaching young adults about AIDS prevention.

Question 4 of 5

The nurse is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?

Correct Answer: B

Rationale: The correct answer is B: The client wears a watch and wedding band. This is because metal objects such as watches and jewelry can be hazardous during an MRI scan due to the strong magnetic field, leading to potential movement or heating of the metal objects, causing harm to the client. A: The client lies still - This is important for obtaining clear images during an MRI scan and does not pose a threat to the client. C: The client asks questions - Asking questions during an MRI scan does not pose a direct threat to the client's safety. D: The client hears thumping sounds - Thumping sounds are a normal part of the MRI scan and do not pose a threat to the client's safety.

Question 5 of 5

The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?

Correct Answer: A

Rationale: The correct answer is A: Fasciculations. Fasciculations are involuntary muscle twitches commonly seen with neurological conditions like motor neuron disease. In this case, the patient's muscle weakness and frequent muscle twitching indicate possible nerve damage. Chorea (B) is characterized by involuntary, jerky movements, not twitching. Atrophy (C) refers to muscle wasting, not twitching. Neuropathy (D) is a general term for nerve damage and does not specifically describe the muscle twitching seen in this patient.

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