ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Arrange for an ethics committee meeting. In this scenario, the client has clear advance directives that they do not want life-sustaining measures. The nurse's primary responsibility is to advocate for the client's wishes, as outlined in their advance directives. By arranging an ethics committee meeting, the nurse can facilitate a discussion involving healthcare professionals, the client's family, and possibly legal experts to ensure that the client's wishes are respected while also addressing the concerns of the family. This process allows for a thorough review of the situation and consideration of all perspectives before making a final decision.
Choice B is incorrect because it is unrelated to the client's care preferences.
Choice C is irrelevant as the client's anxiety level does not impact the decision about life-sustaining measures.
Choice D is also unrelated to the client's advance directives and is not a priority in this situation.
Question 2 of 5
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination.
Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
Question 3 of 5
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's current anxiety level. This is the first action the nurse should take as it helps assess the immediate emotional well-being of the client. By understanding the client's anxiety level, the nurse can provide appropriate support and interventions to address any distress or trauma experienced. Evaluating the number of clients with similar diseases (
B), giving a presentation (
C), and weighing students (
D) are not relevant or appropriate actions in this situation. The priority is to address the client's emotional needs and ensure their safety and well-being.
Question 4 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons.
Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation.
Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation.
Choice D involves donating clothes, which is unrelated to organ donation.
Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.
Question 5 of 5
A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will complete my arm exercises four times a day." This indicates an understanding of the teaching because after a modified radical mastectomy, it's important to perform arm exercises to prevent lymphedema and improve range of motion. Completing exercises four times a day shows commitment to the prescribed regimen.
Choices B, C, and D are incorrect as they do not pertain to the client's post-operative care after a modified radical mastectomy. B focuses on data collection for health services, C relates to community medical interventions, and D is about charitable donations, none of which are relevant to the client's self-care instructions.