ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?
Correct Answer: A
Rationale: The correct answer is A: A client who has tuberculosis. Tuberculosis is an airborne disease caused by Mycobacterium tuberculosis. Placing a client with tuberculosis in airborne precautions is essential to prevent the transmission of the disease through the air. Airborne precautions include using a negative pressure room, wearing an N95 respirator mask, and ensuring proper ventilation.
Choice B: Pneumonia is typically transmitted through droplets, not airborne transmission.
Choice C: Shigella is transmitted through fecal-oral route, not airborne transmission.
Choice D: Strep throat is transmitted through respiratory droplets, not airborne transmission.
Therefore, choices B, C, and D do not require airborne precautions.
Question 2 of 5
A nurse is assessing a client who has chronic pain. Which of the following findings is associated with chronic pain?
Correct Answer: D
Rationale: The correct answer is D: Depression. Chronic pain often leads to emotional distress, including depression. This is because living with persistent pain can affect a person's mood, behavior, and overall quality of life. Depression is a common co-morbidity in individuals with chronic pain.
Constricted pupils (
A) are not typically associated with chronic pain. Bradycardia (
B) refers to a slow heart rate and is not a common finding in chronic pain. Diaphoresis (
C), which is excessive sweating, is not a consistent sign of chronic pain.
Therefore, these choices are incorrect in the context of chronic pain assessment.
Question 3 of 5
A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The correct order for assessing a client's abdomen is A, B, C, D, E. First, observing the abdomen with a penlight helps assess skin condition, scars, and distension. Second, using a stethoscope to listen for bowel sounds provides information on gastrointestinal motility. Third, systematically percussing the abdomen helps identify areas of dullness or tympany. Fourth, lightly depressing the right lower quadrant helps assess for tenderness or pain. Lastly, pressing deeply into the upper left abdomen detects aortic pulsation, which is crucial for identifying potential abnormalities. This sequence ensures a comprehensive and systematic assessment. Other choices are incorrect as they do not follow a logical progression of assessment steps.
Question 4 of 5
A nurse is caring for a client who has tuberculosis. The nurse should anticipate which isolation precautions for the client?
Correct Answer: A
Rationale: The correct answer is A: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. Airborne precautions include wearing an N95 respirator mask, placing the client in a negative pressure room, and ensuring proper ventilation. Contact precautions (
C) are for diseases spread by direct contact, not airborne transmission like tuberculosis. Droplet precautions (
D) are for diseases spread through large droplets, not small droplet nuclei. Protective precautions (
B) are not specific to tuberculosis.
Question 5 of 5
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Allow the client to slide down their outstretched leg. This is the safest option as it helps to lower the client to the ground in a controlled manner, reducing the risk of injury. Moving quickly in front of the client (
A) can potentially cause both the nurse and the client to fall. Remaining upright (
B) increases the risk of injury to both parties. Placing arms around the client (
D) may not provide enough support and could lead to both falling. It's important for the nurse to prioritize the safety of the client by guiding them down gently.