ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: D
Rationale: The correct answer is D: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Individuals who have demonstrated violent behavior in the past are more likely to engage in violent behavior again.
Choice A, being in prison, does not necessarily indicate future violence.
Choice B, experiencing delusions, may increase the risk but is not as strong a predictor as past violent behavior.
Choice C, male gender, is a generalization and does not account for individual differences.
Question 2 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 3 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. The nurse should anticipate the provider to prescribe these interventions because they are commonly recommended for clients with conditions such as obesity and hypertension. Limiting alcohol intake to 0 oz per day can help improve overall health and prevent worsening of conditions. Keeping daily fat intake to less than 35% is beneficial for managing weight and cardiovascular health. Administering an antihypertensive medication is crucial for controlling blood pressure in hypertensive clients.
Choices C and E are incorrect as prescribing anti-obesity medications is not always the first-line treatment and limiting foods high in potassium may not be necessary unless the client has specific medical conditions.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedure weight. This is the most appropriate action to evaluate the effectiveness of the paracentesis. Paracentesis is a procedure to remove fluid from the abdominal cavity. By comparing the client's current weight with the preprocedure weight, the nurse can assess the amount of fluid removed and determine the effectiveness of the procedure in relieving ascites, a common complication of end-stage liver disease. Checking for leakage at the site of the procedure is important for immediate post-procedure assessment but does not evaluate the effectiveness of the procedure. Confirming that the client is able to urinate is important for assessing kidney function but does not directly evaluate the effectiveness of the paracentesis. Checking the client's serum albumin levels is important for assessing liver function but does not specifically evaluate the effectiveness of the procedure in removing fluid.