ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Question 1 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 2 of 5
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B is important to ensure the client signed the document voluntarily. C confirms the client was not coerced into signing. D is vital to ensure the client has the legal capacity to provide consent. A is incorrect as language proficiency does not impact the validity of consent. E is irrelevant as mental health conditions do not necessarily invalidate consent.
Question 3 of 5
A nurse says to their nurse manager, 'I'm the only one on my team who is working hard.' Which of the following responses should the nurse manager make?
Correct Answer: A
Rationale: The correct response is A: 'Why do you feel upset about this?' This is the best choice because it demonstrates active listening and empathy. By asking for the nurse's perspective, the manager shows understanding and opens up a dialogue to address the underlying issues. It acknowledges the nurse's feelings and encourages communication.
Choice B is incorrect as it could come across as dismissive and unhelpful.
Choice C is inappropriate as it jumps to conclusions and could create a negative work environment.
Choice D is also not ideal as it assumes the nurse's feelings without giving them a chance to express themselves. Overall, choice A promotes a constructive and supportive approach to resolving the situation.
Question 4 of 5
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Insert an indwelling urinary catheter and connect it to gravity drainage. In this situation, the client is showing signs of urinary retention, which can lead to serious complications if not addressed promptly. By inserting a urinary catheter, the nurse can help relieve the client's discomfort and prevent further complications such as bladder distention or urinary tract infections. Connecting it to gravity drainage allows for proper drainage of urine.
Choice A is incorrect because simply hearing running water may not be effective in helping the client void.
Choice B is incorrect as encouraging fluid intake may exacerbate the issue if the client is already having difficulty voiding.
Choice C is incorrect as providing a bedpan while lying supine is not an appropriate position for voiding. It may further hinder the client's ability to void.
Question 5 of 5
A nurse is preparing to lift a box of personal items off the floor in a client's room. Which of the following actions should the nurse take to help prevent injury when lifting the box?
Correct Answer: B
Rationale:
Correct
Answer: B. When lifting the box, keep it close to the body.
Rationale: Keeping the box close to the body reduces the strain on the back muscles and minimizes the risk of injury. When lifting objects, the closer they are to the body, the less force is required to lift them. This decreases the stress on the lower back and reduces the chance of muscle strain or injury. By keeping the box close, the nurse can utilize the strength of their legs and core muscles, rather than relying solely on the lower back, which is more prone to injury.
Summary of other choices:
A: Bending at the waist to pick up the box increases the risk of back injury as it puts excessive strain on the lower back.
C: Keeping the feet close together while lifting does not provide stability and balance, increasing the risk of losing balance and injury.
D: Relaxing the abdominal muscles while lifting can lead to poor posture and an increased risk of back strain and injury.