ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority because understanding the client's concerns or barriers to using the spirometer allows the nurse to address them effectively, promote the client's recovery, and prevent complications such as pneumonia. Requesting a respiratory therapist (
A) can be helpful, but understanding the client's reasons comes first. Documenting refusal (
C) is important but does not address the immediate need to assess and intervene. Administering pain medication (
D) may provide temporary relief but does not address the root cause of refusal.
Question 2 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important to prevent infection and promote healing. First, wash hands thoroughly to maintain cleanliness. Second, gather necessary supplies such as clean gloves, sterile gauze, and saline solution. Third, remove the old dressing carefully and inspect the stoma for any signs of infection or irritation. Fourth, clean around the stoma with saline solution and gently pat dry. Finally, apply a new, sterile dressing using clean technique to maintain a clean and dry environment.
Choice A is incorrect because operating a suction machine is typically done by healthcare professionals.
Choice B is incorrect as securing the tracheostomy tube is usually done by healthcare providers to ensure proper placement.
Choice C is incorrect as changing the tracheostomy tube daily is not a standard practice unless specifically indicated by a healthcare provider.
Question 3 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. A: Limiting alcohol intake helps manage conditions like hypertension. B: Keeping fat intake below 35% helps prevent heart disease. D: Administering antihypertensive medication is essential for managing high blood pressure. C: Administering anti-obesity medication may not be necessary if the client's weight is not the primary concern. E: Limiting foods high in potassium is not necessary unless the client has specific medical conditions requiring it.
Therefore, choices C and E are incorrect as they are not the priorities for the client's care in this scenario.
Question 4 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should remove constrictive clothing prior to measuring my blood pressure." This statement indicates an understanding of the teaching because tight clothing can falsely elevate blood pressure readings. Removing constrictive clothing ensures accurate blood pressure measurement.
Choice A is incorrect because waiting after coffee intake is not directly related to proper blood pressure measurement.
Choice B is incorrect as elevating the arm above the heart can lead to inaccurate readings.
Choice D is incorrect as measuring blood pressure immediately after eating can also provide inaccurate results due to digestion processes affecting blood pressure.
Question 5 of 5
While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion (CPM) device. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action the nurse should take first is to remove the device from the room (
Choice
C). This is crucial because a frayed electrical cord poses a significant safety risk, potentially leading to electric shock or fire hazard. By removing the device from the room, the nurse ensures that the client and others are not exposed to the danger posed by the damaged cord. Initiating a requisition for a replacement device (
Choice
A) can be done after ensuring immediate safety. Reporting the defect to equipment maintenance staff (
Choice
B) is important, but it is secondary to removing the device from the room. Ensuring the device inspection sticker is current (
Choice
D) is not the priority when there is a clear safety issue present.