ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.
Question 2 of 5
A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?
Correct Answer: B
Rationale: Raising the head off the pillow is not relevant to easing the passage of the catheter through the urinary meatus. Bearing down can help relax the pelvic floor muscles making it easier to insert the catheter through the urinary meatus. Holding the breath is not typically instructed during catheter insertion and may not aid in the ease of the procedure. Performing Kegel exercises involves contracting pelvic floor muscles which is not the desired action when inserting a urinary catheter.
Question 3 of 5
A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?
Correct Answer: A
Rationale: Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare. Referring the client to a counselor can be appropriate but the primary response should be to support the client's decision. Encouraging the client not to give up may not be appropriate if the client has made a well-considered decision to refuse further treatment. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.
Question 4 of 5
To plan culturally competent care a nurse should consider that:
Correct Answer: D
Rationale: While some clients may be receptive to a scientific perspective cultural beliefs and practices can significantly influence health-related decisions and behaviors. Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group. Disease and illness can indeed be influenced by cultural factors including beliefs about health and healing practices. The meaning of behavior can vary widely across cultures and understanding the cultural context is crucial for providing culturally competent care.
Question 5 of 5
A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?
Correct Answer: D
Rationale: Decreased hematocrit may be seen in fluid volume excess not deficit. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit. Increased skin turgor is a clinical manifestation of fluid volume deficit. Increased pulse rate is a compensatory response to fluid volume deficit reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.