ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Question 1 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: The correct answer is B because clients with dysphagia are typically recommended to avoid using straws as they can increase the risk of aspiration. Thickened liquids are already a modification to make swallowing safer, so using a straw could negate that.
Choice A is correct as it promotes proper positioning for swallowing.
Choice C is acceptable as taking breaks can reduce the risk of aspiration.
Choice D is also correct as tucking the chin helps to protect the airway during swallowing.
Question 2 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D - "My medications could interact with foods that I eat."
Rationale:
1. Medications can interact with foods: Some medications can have interactions with certain foods, affecting their effectiveness or causing side effects.
2. Importance of awareness: Being aware of potential food-drug interactions is crucial to ensure medication safety and effectiveness.
3. Client safety: Understanding the possibility of food-medication interactions shows the client's comprehension of medication safety, indicating responsible behavior.
Summary of Incorrect
Choices:
A: Incorrect - Not informing the doctor about herbal supplements can lead to potential drug interactions.
B: Incorrect - Past use of medications does not guarantee immunity to allergic reactions; precautions are still necessary.
C: Incorrect - Stopping medication abruptly can be dangerous; consulting a healthcare provider is crucial.
Question 3 of 5
A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C because a durable power of attorney becomes enforceable when the client is unable to express their wishes. This is because the appointed individual (the attorney-in-fact) steps in to make decisions on behalf of the client when they are unable to communicate their preferences.
Choice A is incorrect because incapability of self-care doesn't necessarily trigger durable power of attorney.
Choice B is incorrect as being terminally ill doesn't automatically activate durable power of attorney.
Choice D is incorrect as refusing treatment doesn't directly relate to the activation of durable power of attorney.
Question 4 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State-based Nurse Practice Acts. Nurse Practice Acts are state laws that define the scope of nursing practice within each state. These acts outline the legal boundaries and responsibilities of nurses, including licensure requirements, patient care standards, and disciplinary actions. It is crucial for nurses to adhere to these laws to ensure safe and competent practice.
A: The National League for Nursing is an organization that focuses on nursing education standards, not the scope of practice.
B: The Joint Commission sets quality standards for healthcare organizations, not individual nursing practice.
C: The Patient's Bill of Rights outlines patients' rights and responsibilities in healthcare, not the scope of nursing practice.
Therefore, D is the correct answer as it directly pertains to the scope of nursing practice.
Question 5 of 5
A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. Restlessness can be a sign of hypovolemic shock due to active bleeding postoperatively. This is because the body is trying to compensate for the decreased blood volume. Bounding pulses, warm skin, and brisk capillary refill are signs of good perfusion and not indicative of active bleeding.