ATI RN
ATI RN Fundamentals 2023 I Questions
Question 1 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: C
Rationale: The correct answer is C: 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 support to keep the tube in place. Cutting a gauze pad to place under the flanges (
A) is not necessary and may increase the risk of infection. Cleansing the skin with full-strength hydrogen peroxide (
B) can be irritating and damaging to the skin. Wearing clean gloves while cleaning the inner cannula (
D) is essential for infection control but is not directly related to securing the tracheostomy in place.
Question 2 of 5
A nurse is caring for a client who reports frequent headaches and believes balance is achieved through the concept of yin and yang. Which of the following foods should the nurse expect the client to choose to treat their headache?
Correct Answer: A
Rationale: The correct answer is A: Honey. In Traditional Chinese Medicine, honey is considered to have yin properties, which can help balance excessive yang energy causing headaches. Honey is sweet and moist, qualities associated with yin energy. Fresh vegetables (
B) are neutral, chicken (
C) is considered yang, and chili peppers (
D) are very yang, exacerbating headaches. Honey is the ideal choice to balance the client's yin and yang energies and alleviate the headaches.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: The correct answer is A, Metabolic syndrome, as it includes a cluster of risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors increase the risk of cardiovascular disease.
Choice B (Family history of alcohol use disorder) is incorrect as it does not directly relate to cardiovascular disease risk.
Choice C (Participation in competitive sports) is unlikely to increase cardiovascular disease risk and may even have a protective effect.
Choice D (Hypotension) is actually low blood pressure, which is not typically associated with increased cardiovascular disease risk.
Question 4 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:
Correct
Answer: B
Rationale:
1. The nurse must assess the client's risk for self-harm or suicide, as the client expressed a desire to die.
2. Asking directly about self-harm opens the conversation and allows the nurse to assess the severity of the client's thoughts.
3. This response shows the nurse's concern for the client's safety and well-being.
4. It initiates a crucial dialogue to determine the appropriate level of intervention needed for the client's safety.
Summary of other choices:
A: Asking about the partner may divert the conversation and miss addressing the immediate risk of self-harm.
C: While discussing feelings with a provider is important, the urgency of the situation requires immediate assessment by the nurse.
D: Inquiring about medication adherence is relevant but not the priority when the client expresses suicidal ideation.
Question 5 of 5
A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Weight. In an anthropometric assessment, weight is a crucial measurement to assess a client's nutritional status, growth patterns, and overall health. Weight can indicate changes in fluid balance, muscle mass, and fat stores. It helps in monitoring progress, setting goals, and evaluating the effectiveness of interventions. The other choices are incorrect because: A - Level of orientation is related to cognitive status, not anthropometric assessment; B - Respiratory rate is a vital sign indicating respiratory function, not part of anthropometric assessment; D - Current pain level is important for pain management but not relevant to anthropometric assessment.