ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse +2:43 is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Pharyngeal diphtheria is transmitted through respiratory droplets from infected individuals. Droplet precautions involve wearing a mask when within 3 feet of the client to prevent the transmission of droplets. Contact precautions (
Choice
A) are for diseases spread through direct contact with the client or contaminated surfaces. Airborne precautions (
Choice
C) are for diseases that are transmitted through tiny particles that remain suspended in the air. Protective precautions (
Choice
D) are not a standard precaution type but rather a set of measures to protect immunocompromised clients from infections.
Question 2 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Let's talk about how the change in your job status will affect you." This response shows empathy and understanding towards the client's concerns and opens up a dialogue to explore the client's feelings and thoughts about retirement. It allows the nurse to assess the client's emotional readiness and concerns, facilitating a supportive conversation.
Other choices are incorrect:
A: This response assumes that the client's main concern is spending time with family, which may not be the case.
B: While volunteering or working part-time are valid options, this response does not address the client's current feelings and may come across as dismissive.
D: This response is judgmental and does not acknowledge the client's perspective or concerns, potentially shutting down communication.
Question 3 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Herpes zoster, also known as shingles, is a viral infection that affects the nerves and causes a painful rash. Acupuncture involves inserting thin needles into specific points on the body to alleviate pain and promote healing. However, in the case of herpes zoster, the skin lesions and nerve involvement increase the risk of spreading the virus through acupuncture needles, leading to potential complications.
Therefore, acupuncture is contraindicated in clients with herpes zoster to prevent the spread of the virus.
A: Biofeedback, B: Aloe, and C: Reflexology are not contraindicated for clients with herpes zoster. Biofeedback is a non-invasive technique that helps individuals control physiological processes such as reducing stress and managing pain. Aloe is a natural plant extract commonly used for its anti-inflammatory and soothing properties, which can be beneficial for skin irritations caused by herpes zoster. Reflexology is a therapeutic technique that involves applying pressure to
Question 4 of 5
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply)
Correct Answer: D,E
Rationale: The correct assessments for identifying an older adult client's safety needs are visual fields (
D) and visual acuity (E). Visual fields evaluate peripheral vision, important for detecting obstacles and hazards. Impaired visual acuity can affect depth perception and balance, increasing fall risk. Lacrimal apparatus (
A) assesses tear production, not directly related to fall risk. Pupil clarity (
B) and appearance of bulbar conjunctivae (
C) are more related to eye health but do not directly assess fall risk in older adults.
Question 5 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Examine personal values about the issue. The nurse should first reflect on their own values to ensure they can provide care without bias. This allows the nurse to approach the situation with empathy and understanding.
Choice B is incorrect because it disregards the parents' beliefs.
Choice C is incorrect as parental consent is typically required for medical procedures involving minors.
Choice D may not be effective as it may come across as disrespectful to the parents' beliefs.