ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Larger catheters (20 French) increase trauma risk; full bags risk backflow; disconnecting breaks sterility. Keeping the bag below bladder level prevents urine backflow, reducing infection risk.
Question 2 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hour ago. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Instructing the client to take deep, rhythmic breaths can help in managing pain by promoting relaxation and reducing muscle tension. However, for localized back pain, direct application of cold or heat is often more effective. Encouraging the client to apply a heating pad for 2 hours at a time can provide relief, but prolonged heat application (beyond 20-30 minutes) may increase inflammation or discomfort. Applying an ice pack to the client's back for 1 hour is effective in reducing inflammation and numbing mild back pain, though 20-30 minutes is typically recommended to avoid skin damage. This is still the best choice for immediate relief. Removing distractions can support relaxation but does not directly address localized pain.
Question 3 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: Tuberculosis requires airborne precautions due to its transmission via tiny airborne droplets. Pneumonia and strep throat require droplet precautions, while shigella requires contact precautions.
Question 4 of 5
A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Friction prevention is a benefit but not the primary purpose. Arms should be crossed over the chest, not at the sides. The bed should be flat, not elevated. Logrolling maintains spinal alignment, critical for clients with spinal issues.
Question 5 of 5
During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Informing the provider is important but not the first step; the immediate priority is ensuring the client’s safety for surgery. Documenting the incident is necessary but secondary to addressing the clinical need. Preparing an incident report is for quality improvement and not the immediate action. Obtaining the client's type and cross-match is the first action to ensure compatible blood is available for surgery, directly addressing the oversight.