ATI RN
ATI RN Fundamentals 2023 I 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. When a client has dysphagia, drinking thickened liquids with a straw can increase the risk of aspiration because the liquid may move too quickly through the straw. This can lead to choking or aspiration pneumonia.
Choices A, C, and D are all appropriate actions for a client with dysphagia. Adjusting the bed to 90° helps with swallowing, tucking the chin can prevent aspiration, and taking breaks while eating can reduce the risk of choking.
Question 2 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with a night light. This is important to reduce the risk of falls during nighttime when visibility is reduced. Placing the bedside table away from the bed (choice
A) does not directly address fall risk. Elevating full-length side rails (choice
C) may restrict the client's movement and increase the risk of injury. Keeping the room temperature at 18°C (choice
D) is important for comfort but does not directly impact fall risk.
Question 3 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Ask the family if they wish to assist in washing the client’s body. This should be performed first as it involves respecting the family's wishes and cultural practices. Involving the family in the care process can provide a sense of closure and comfort. Removing the client's dentures (
B) or turning the lights to a bright setting (
D) can be done after the initial respectful steps. Leaving the client's eyes open (
C) may not be appropriate as it can be unsettling for the family.
Question 4 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the client's medications one at a time. This is crucial for a client with dysphagia to prevent choking and aspiration. Providing medications separately ensures proper swallowing and minimizes the risk of medication getting stuck in the throat. Giving medications between meals (
A) may not be appropriate as it does not address the swallowing difficulty during medication administration. Assisting the client into semi-Fowler's position (
B) is generally beneficial for dysphagia but not directly related to medication administration. Encouraging the client to use a straw (
C) may further complicate the swallowing process for someone with dysphagia. Overall, administering medications one at a time is the safest and most effective approach in this situation.
Extract:
A nurse in a provider's office is caring for a client.
Exhibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements.
Client is a nonsmoker.
Client does not drink alcohol.
Question 5 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,E,F
Rationale: The correct answer includes Vitamin D level, low activity level, and lactose intolerance. Low Vitamin D levels lead to poor calcium absorption, increasing osteoporosis risk. Inadequate physical activity reduces bone density, contributing to osteoporosis. Lactose intolerance may result in low calcium intake, impacting bone health. Phosphorous level, smoking history, and alcohol use do not directly impact osteoporosis risk.