ATI RN
ATI RN Fundamentals 2023 II Questions
Question 1 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because performing ankle and knee exercises every hour helps improve circulation and prevent complications like blood clots associated with immobility. Holding breath (choice
A) is incorrect as it can cause dizziness. Having a partner help change positions every 4 hours (choice
B) is incorrect because changing positions every 2 hours is recommended. Removing antiembolic stockings while in bed (choice
C) is incorrect as they should be worn when in bed. In summary, the other choices are incorrect as they do not address the specific issue of reducing adverse effects of immobility.
Question 2 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: B
Rationale: The correct answer is B because when a client believes that their needs will be met through education, they are more likely to be motivated to learn. This belief creates a sense of purpose and relevance, driving the client to engage in the learning process.
Explanation of other options:
A: While it's important for the nurse to explain the need for education, this may not directly increase the client's motivation if they don't see the relevance to their needs.
C: Seeking family approval may provide external motivation but may not necessarily lead to intrinsic motivation for learning.
D: Nurse empathy is important for building rapport but may not be the primary factor in increasing motivation to learn.
Question 3 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product's compatibility with the client's blood type. This is crucial to prevent a potentially life-threatening transfusion reaction. The nurse must verify that the blood product matches the client's blood type to avoid hemolysis. Checking for compatibility ensures that the client's immune system will not attack the transfused blood cells.
Choices B, C, and D are incorrect:
B: Checking for a small gauge IV catheter is important for administering blood products, but it is not the priority before the start of the infusion.
C: Confirming the client's identity with the blood bank technician is essential but does not directly relate to the safety of the transfusion.
D: Priming the IV tubing with lactated Ringer's is not necessary as the packed RBCs should be administered with a separate tubing set to prevent any potential interactions.
Question 4 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: D
Rationale: The correct answer is D: Client advocate. The nurse manager is functioning in the role of a client advocate by ensuring the safety of the client during the straight catheterization procedure. Advocacy involves protecting the client's rights, promoting their well-being, and ensuring they receive safe and appropriate care. The other choices are incorrect because:
A) Case manager focuses on coordinating care and resources for the client,
B) Client educator involves providing information and teaching the client about their care, and
C) Client care provider refers to directly providing hands-on care to the client, which is not the primary role of the nurse manager in this scenario.
Question 5 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D. Helping the client lie on the floor is the first action to take during a seizure to prevent injury. By placing the client on the floor, the risk of falling from the chair and sustaining injuries is minimized. Loosening clothing (
A) can be done after ensuring safety. Turning the client onto their side (
B) is important to maintain a clear airway, but placing them on the floor takes precedence. Moving items in the room (
C) is not the priority over ensuring the client's safety.