ATI RN
ATI RN Fundamentals Exam 6 Questions
Question 1 of 5
A home health nurse is providing teaching to an older adult client who is at risk for falls. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will put socks on when I get out of bed." This statement indicates a need for further teaching because wearing socks on slippery floors increases the risk of falls. The rationale behind this is that socks lack traction and can cause the client to slip and fall. The other choices are all appropriate measures to prevent falls in older adults. A: Having vision checked helps with identifying hazards. C: Installing a safety bar near the toilet provides support. D: Putting a night-light in the hallway improves visibility and reduces the risk of tripping.
Question 2 of 5
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct answers are B, C, D, and E. For older adults, breast examination yearly can detect breast cancer early. Colonoscopy every 10 years can help detect colon cancer. Regular hearing screenings can prevent hearing loss. Testicular self-exam can detect testicular cancer early.
Choice A is incorrect as eye exams should be more frequent for older adults.
Choices F and G are not provided.
Question 3 of 5
A nurse is delegating obtaining the collection of a client's oral temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature. Which of the following rights of delegation should have prevented this situation from occurring?
Correct Answer: A
Rationale: The correct answer is A: Right task. Delegating the task of obtaining an oral temperature but having the AP obtain an axillary temperature is a mismatch of task. The oral temperature task requires a different skill set and method compared to axillary temperature.
To prevent this, the nurse should have ensured that the right task was assigned to the AP. The other options are incorrect: B: Right communication - although communication is important, it does not directly address the task mismatch. C: Right person - the AP could be the right person but assigned the wrong task. D: Right circumstance - this focuses on the timing and environment, not the task itself.
Question 4 of 5
The parent of a toddler is concerned that his child has suddenly become disinterested in certain foods. Which of the following statements is the appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C. The rationale is that a sudden disinterest in certain foods in toddlers is common due to their developing taste preferences and is usually a temporary phase. As long as the child appears healthy, there is no need for intervention.
Choice A is incorrect as it promotes feeding anything the child will eat, which may lead to poor nutrition.
Choice B is incorrect as it may unnecessarily alarm the parent.
Choice D is incorrect as increasing calories and water intake without medical advice can be harmful.
Question 5 of 5
A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by
Correct Answer: C
Rationale: The correct answer is C: Modulating the transmission of the pain impulse. TENS works by delivering electrical impulses through electrodes placed on the skin, which then stimulate the nerves in the area. This stimulation helps to interfere with and modulate the transmission of pain signals to the brain, reducing the perception of pain. This mechanism differs from distraction (
Choice
A), relaxation response (
Choice
B), and increased circulation (
Choice
D), which are not direct effects of TENS on pain management.
Therefore, the correct answer is C because it directly addresses how TENS specifically impacts pain perception.