ATI RN
ATI RN Fundamentals 2023 II Questions
Question 1 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: D
Rationale: The correct answer is D. This statement indicates that the client has adapted to their new situational role because it shows acceptance and appreciation of the assistance provided by their adult child. By stating, "It's nice having other people cook for me," the client acknowledges and values the support and care being offered, demonstrating a positive adjustment to their changed living situation.
A: This statement suggests a desire for independence, which may indicate the client is not fully adapted to relying on their adult child.
B: This statement indicates confusion and uncertainty, signaling a lack of adjustment to their new living arrangement.
C: This statement reflects a reluctance to ask for help, which may hinder the client's ability to adapt and receive necessary support.
Question 2 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This is because a speech-language pathologist specializes in diagnosing and treating swallowing difficulties (dysphagia) that often occur after a stroke. They can assess the client's swallowing function, provide strategies to improve swallowing safety, and recommend appropriate diet modifications. The other options (B: Occupational therapist, C: Physical therapist, D: Social worker) do not specifically address the client's swallowing issue and are not the primary professionals for managing dysphagia in stroke patients.
Question 3 of 5
A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Activate the facility's fire alarm. This is the next action the nurse should take after ensuring the client's safety. Activating the fire alarm alerts other staff members and emergency services, allowing for a quicker and more coordinated response to the fire. Placing wet towels along the base of the door (choice
A) may help prevent smoke from entering the room but does not address the larger issue of alerting others to the fire. Directing a fire extinguisher at the fire (choice
C) should only be done if the nurse is trained to do so and it is safe. Turning off any electrical equipment (choice
D) may be necessary to prevent further hazards but does not take precedence over alerting others to the fire.
Question 4 of 5
I can give you the contact information for someone to assist you with recovering your password.' Which of the following responses should the nurse make to a newly licensed nurse who forgot their computer password?
Correct Answer: D
Rationale: The correct answer is D because it follows proper security protocols. By providing the contact information for someone to assist with password recovery, the nurse is ensuring that the process is handled by the appropriate personnel trained in password security.
Choice A is incorrect as sharing client information with the charge nurse is not relevant to password recovery.
Choice B is incorrect as sharing personal passwords is a security risk.
Choice C is incorrect as going to the supervisor for a temporary password may not be the standard procedure and could potentially compromise security.
Question 5 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C - Expel air bubble before injecting medication.
Rationale:
1. Air bubbles can cause harm if injected into the bloodstream.
2. Expelling air ensures accurate dosage delivery.
3. Prevents air embolism, a potentially fatal complication.
4. Promotes safe and effective administration of heparin.
Summary:
A: Using an 18-gauge needle is too large and may cause discomfort.
B: Massaging the site can lead to bruising or discomfort.
D: Injecting 2 inches away from umbilicus is not a standard practice for heparin administration.