ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Question 1 of 5
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I am available to talk if you should change your mind." This response demonstrates empathy, support, and readiness to provide assistance. By offering to talk if the client changes their mind, the nurse is acknowledging the client's autonomy in decision-making and providing an open invitation for further discussion. This approach respects the client's current choice while also ensuring the availability of emotional support if needed.
Other choices are incorrect:
A: This response prioritizes documentation over the client's emotional well-being.
B: This statement may provide false reassurance and does not address the client's emotional needs.
D: While support groups can be beneficial, making this referral without the client's consent or request may not be appropriate at this stage.
E, F, G: These options are not provided in the question, so they are irrelevant.
Question 2 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 3 of 5
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Subtract the amount of irrigant used from the client's urine output. This is important because when using an open irrigation technique, the nurse needs to account for the amount of irrigant introduced into the catheter to ensure accurate monitoring of urine output. By subtracting the amount of irrigant used from the total urine output, the nurse can accurately assess the client's true urine output.
Choice A is incorrect because placing the client in a semi-lying position is not directly related to the irrigation technique.
Choice B is incorrect as instilling a specific amount of 15 mL of irrigation fluid with each flush is not a standard practice for open irrigation technique.
Choice D is incorrect as the size of the syringe used for irrigation is not specified in standard guidelines.
Extract:
Nurses' Notes: Day 1
Lactated Ringer'sat 100 mbhr infusing into a 20-guage IV catheter in left hand. IV ressing dry and Intact. IV site without redness or swelling. IV fluld infusing vl [ Place a pressure chessing over the IV site.
(03 Apply heat to the clients left hand.
Day2 [ start.a newIV inthe clent’s eft hand. IV site edematous. Skin surrounding catheter site taut blanched, and cool to touch. IV fluid not nfusing.
Question 4 of 5
A nurse is caring for a client who has a peripheral IV inserted for fluid. The nurse is assessing the client. Which of the following actions should the replacement nurse take? Select all that apply. Nurses' Notes: Day 1: Client's left arm. Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand. IV dressing dry and intact. IV site without redness or swelling. IV fluid infusing well. Day 2: Start a new IV in the client's left hand. IV site edematous. Skin surrounding catheter site taut, blanched, and cool to touch. IV fluid not infusing.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Stop the IV infusion - The client's IV site is showing signs of infiltration (edematous, cool skin, IV fluid not infusing), which can lead to tissue damage. Stopping the infusion is crucial to prevent further harm.
B: Place a pressure dressing over the IV site - A pressure dressing can help reduce swelling and prevent further infiltration of fluid into the surrounding tissues.
C: Apply heat to the client's left hand - Applying heat can help dilate blood vessels and improve circulation, which may help reduce the effects of infiltration and promote tissue healing.
Summary of Incorrect
Choices:
D: Starting a new IV in a different site is not necessary at this moment. The priority is to address the infiltration issue with the current IV.
E, F, G: No additional choices were provided, but they would likely be incorrect as they do not address the immediate concern of the IV site infiltration.
Extract:
Question 5 of 5
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
Correct Answer: C
Rationale: The correct answer is C: Role overload. This is because the partner is feeling overwhelmed with managing household responsibilities alongside caring for their partner with dementia, indicating an excessive amount of roles to fulfill. Role overload occurs when an individual is faced with too many responsibilities and not enough time or resources to fulfill them all effectively.
A: Role ambiguity refers to uncertainty about one's responsibilities or expectations in a role, which is not the case in this scenario.
B: Sick role is when an individual takes on the identity of being sick and may rely on others for help, which does not align with the partner's situation.
D: Role conflict is when there are conflicting demands between different roles, which is not the primary issue here.
In summary, the partner is experiencing role overload because they are struggling to balance multiple responsibilities, leading to feelings of frustration and stress.