ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Question 1 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 2 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Let's talk about how the change in your job status will affect you." This response acknowledges the client's concerns and opens up a dialogue about the potential impact of retirement. It shows empathy and understanding towards the client's feelings.
Choice A is incorrect because it assumes that the client's main concern is spending time with family, which may not be the case.
Choice B is incorrect as it suggests immediate solutions without exploring the client's thoughts further.
Choice D is incorrect as it dismisses the client's feelings and imposes the idea of relaxation, which may not align with the client's desires.
Question 3 of 5
nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork belowi. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct Answer: D
Rationale:
1. Crackles are typically heard in the lower lung fields where fluid accumulates in pneumonia.
2. Anterior chest wall location D corresponds to the lower lung fields where crackles are most likely to be heard.
3. By auscultating at location D, the nurse can accurately assess for crackles in the affected area.
Summary:
- A, B, and C are incorrect as they are higher on the chest wall and not where crackles are typically heard in pneumonia.
- E, F, and G are not valid choices as they do not correspond to any specific lung fields for auscultation in pneumonia.
Question 4 of 5
A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client who was just given a glass of orange juice for a low blood glucose level first because hypoglycemia can lead to serious complications such as seizures or loss of consciousness. Assessing this client first allows the nurse to monitor for signs of worsening hypoglycemia and take prompt action if needed.
Choice A is incorrect because a client scheduled for a procedure in 1 hr can be assessed after ensuring the immediate safety of the client with low blood glucose.
Choice B is incorrect since a client who received pain medication 30 min ago for postoperative pain doesn't indicate an immediate life-threatening situation.
Choice D is incorrect as a client with 100 mL of fluid remaining in the IV bag can be monitored but doesn't require immediate attention compared to a client with low blood glucose levels.
Question 5 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored