ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the case manager's commitment to assisting the client in making informed decisions about alternative therapies. By offering to review information and help select a safe alternative practitioner, the case manager is showing support and guidance.
Choice B is incorrect because it assumes the provider will automatically inform the client about therapies, which may not always be the case.
Choice C is incorrect as it implies that any therapy aligned with the client's belief system is suitable, which may not always be safe or effective.
Choice D is incorrect as online support groups may not provide reliable information on alternative remedies.
Question 2 of 5
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Acupuncture involves inserting needles into specific points on the body to alleviate pain. In the case of herpes zoster (shingles), which is a viral infection affecting nerves and causing a painful rash, there is a risk of spreading the infection through the needle insertion sites. This can lead to further complications and worsen the condition.
Therefore, it is a contraindication for receiving acupuncture treatment.
Choice A: Hypertension is not a contraindication for acupuncture. In fact, acupuncture can help with managing hypertension.
Choice B: Obesity is not a contraindication for acupuncture. Acupuncture can be beneficial for weight management and overall health.
Choice C: Hypothyroidism is not a contraindication for acupuncture. Acupuncture can help regulate thyroid function and manage symptoms of hypothyroidism.
Question 3 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is important to prevent complications such as puncturing surrounding structures. Coughing can increase pressure in the thoracic cavity, making the procedure more difficult and increasing the risk of injury. Positioning the client on the affected side (
A) is not necessary and may not be comfortable for the client. Keeping the client NPO for 6 hr prior to the procedure (
C) is not typically required for a thoracentesis. Placing the client in the prone position (
D) during the procedure is incorrect as the procedure is usually performed with the client sitting upright or slightly leaning forward.
Question 4 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Make sure two fingers can fit under the sleeves. This is important to ensure proper circulation and prevent undue pressure on the client's legs. If the sleeves are too tight, it can lead to decreased blood flow and potential complications like deep vein thrombosis.
Choice A is incorrect because placing the client in a prone position is not necessary for using sequential compression sleeves.
Choice B is incorrect as the opening of the sleeve should be at the foot, not the knee.
Choice D is incorrect as the ankle pressure should typically be set according to the specific manufacturer's guidelines, not a fixed value of 65 mm Hg.
Question 5 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A non-coring needle. This type of needle is specifically designed for accessing implanted venous access ports as it minimizes the risk of damaging the septum or causing coring. Coring can lead to complications such as infection or damage to the port.
- A: An angiocatheter is not typically used for accessing implanted venous access ports as it may not be the most appropriate size or design for this purpose.
- B: A 25-gauge needle may not be suitable for accessing the port as it may not be designed to prevent coring.
- C: A butterfly needle is not the recommended choice for accessing an implanted venous access port as it may not have the same design features as a non-coring needle.