ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Make sure two fingers can fit under the sleeves. This action ensures proper fit and compression without causing restriction or compromising circulation. A: Assisting the client into a prone position is not necessary for applying the sleeves. B: Placing the sleeve with the opening at the knee is incorrect as it should be at the top of the leg. D: Setting the ankle pressure at 65 mm Hg is not specified for thigh-length sleeves and may not be appropriate.
Question 2 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with written information about the phases of loss and grief. This is the most appropriate action as the client is expressing anger, which is a normal part of the grieving process. By providing information about the phases of loss and grief, the nurse can help the client understand his emotions and cope with them effectively.
A: Discussing risk factors for colon cancer is not the immediate priority when the client is expressing anger.
B: Focusing on future management may be overwhelming for the client at this stage when he is dealing with emotional distress.
D: Reassuring the client that his response is expected is helpful, but providing information on coping mechanisms is more beneficial in this situation.
Question 3 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is A: Check the client for injuries. This is the first priority to ensure the client's immediate safety and well-being. By assessing for injuries first, the nurse can determine the severity of the situation and provide appropriate care. Moving hazardous objects (
B) can wait until the client's safety is ensured. Notifying the provider (
C) can be done after assessing the client's condition. Asking the client to describe how she felt prior to the fall (
D) is important but not as urgent as checking for injuries.
Question 4 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. The nurse's priority is to assess why the client is refusing the treatment to address the underlying issue. By understanding the client's reasoning, the nurse can provide appropriate interventions and education to encourage compliance, ensuring optimal recovery. Requesting a respiratory therapist (
A) may be helpful but does not address the client's refusal directly. Documenting the refusal (
C) is important but does not actively address the issue. Administering pain medication (
D) may provide temporary relief but doesn't address the root cause of refusal.
Question 5 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale: The correct interventions for placing a client on isolation precautions include A, B, C, and E.
A) Wearing an N95 mask is crucial for airborne precautions.
B) Placing a container for soiled linens inside the room prevents contamination.
C) A negative airflow room helps contain airborne pathogens. E) Wearing a sterile water-resistant gown within close proximity to the client prevents transmission. D is incorrect as the mask should be removed inside the client's room.
Choices F and G are likely blank options or not relevant to isolation precautions.