ATI RN
ATI Fundamentals 2023 Retake Questions
Question 1 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Answer B is correct because it directly addresses the client's statement about wanting to die, which indicates suicidal ideation. By asking if the client has thought about harming themselves, the nurse is assessing the client's risk of self-harm and can then take appropriate actions to ensure the client's safety.
Answer A is incorrect as it focuses on the medication issue rather than the client's immediate safety. Answer C is incorrect as it shifts the focus away from the client's suicidal thoughts. Answer D is also incorrect as it doesn't address the immediate risk of self-harm and instead suggests discussing the feelings with the provider without assessing the client's safety first.
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube. The collar provides stability and security, reducing the risk of complications such as airway obstruction. It also allows for easy adjustment and removal if needed.
A: Wearing clean gloves is important, but it is not directly related to tracheostomy care.
B: Hydrogen peroxide is not recommended for cleansing the skin around the stoma as it can be irritating and drying to the skin.
C: Placing a gauze pad under the flanges is not necessary and may increase the risk of infection or skin breakdown.
Overall, option D is the most appropriate action for tracheostomy care.
Question 3 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals with physical limitations perform activities of daily living, such as feeding oneself. They can provide adaptive equipment and teach techniques to promote independence. Referring the client to an occupational therapist will address the specific needs related to the client's severe rheumatoid arthritis in her hands.
A: Physician assistant focuses on medical diagnosis and treatment, not specifically on activities of daily living.
B: Physical therapist focuses more on mobility and physical rehabilitation, not specifically on activities like feeding.
D: Social worker focuses on psychosocial aspects and support services, not specifically on physical rehabilitation.
Therefore, the best choice for addressing the client's feeding difficulty due to severe rheumatoid arthritis in her hands is to request a referral to an occupational therapist.
Question 4 of 5
A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B - Ask the provider for a prescription to decrease the continuous rate.
Rationale: A pain rating of 2 indicates mild pain, so decreasing the continuous rate of opioids can help prevent overmedication and potential adverse effects. Asking the provider for a prescription change ensures a safe adjustment to the pain management plan.
Summary of Incorrect
Choices:
A: Informing the provider that the PCA is not providing adequate pain relief may lead to unnecessary intervention since a pain rating of 2 is considered mild.
C: Instructing the client to push the button more frequently could result in overmedication and potential adverse effects due to unnecessary bolus doses.
D: Instructing the client's caregiver to push the PCA button when the client is resting is not appropriate as the client should be the one managing their pain relief.
Question 5 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Endotracheal suctioning. This is the priority procedure as it helps maintain airway patency and oxygenation, which are crucial for the client's survival. Without proper airway clearance, the client may experience respiratory distress or failure. Enteral feeding (
A) can wait as it is not immediately life-threatening. Wound irrigation (
C) and urinary catheter care (
D) are important but not as critical as ensuring a patent airway.