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Practice Question

A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?

Answer Choices:

Correct Answer:

Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients.

Rationale:

Physiological needs occupy the base of Maslow’s hierarchy, making nutrition the most fundamental requirement for survival and healing.

⚫ Inadequate nutrient absorption undermines cellular repair and homeostasis, placing it above self-care or psychosocial diagnoses in priority.

⚫ Addressing Altered Nutrition prevents further physiological deterioration, whereas powerlessness and risk for injury are secondary until basic needs are stabilized.

⚫ Correctly prioritizing nutritional status ensures that all subsequent interventions—including ambulation and coping strategies—are supported by a sound physiological foundation.

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This question is from ATI Fundamentals Final (II) which contains 69 questions.

More Practice Questions
A nursing diagnosis of "Risk for Deficient Fluid Volume" related to excessive fluid loss, secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days. What should the nurse do?

Answer Choices:

A. Document that the potential problem is being prevented from recurring.
B. Document that the problem has been resolved and the goal has been met.
C. Assume that whatever the cause was, the symptoms may return, but the goal was met.
D. Keep the problem on the care plan in case the symptoms return.
An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would be appropriate for this person to delegate?

Answer Choices:

A. An unlicensed assistive person may not delegate.
B. Making a bed.
C. Assisting with bathing.
D. Taking and recording vital signs.
The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

Answer Choices:

A. The client will perform four to five isometric squeezes for 5 to 10 seconds.
B. The client will empty her bladder completely each time she voids.
C. The client will improve her incontinence within one month.
D. The client will stop the flow of urine when voiding.
From Exam
ATI Fundamentals Final (II)

69 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI FUNDAMENTALS OF NURSING
  • Answer Choices: 4
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