ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
Question 2 of 5
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C because using the planning step of the nursing process to prioritize client care delivery allows the nurse to systematically organize and prioritize tasks based on client needs, urgency, and importance. By following this approach, the nurse can allocate time efficiently to address critical client needs first, thus optimizing time management.
Choice A is incorrect as combining client care tasks may lead to overlooking specific client needs or compromising the quality of care.
Choice B is incorrect because waiting until the end of the shift to document client care can result in inaccuracies, omissions, or delays in recording important information.
Choice D is incorrect as allowing interruptions in tasks to discuss client care issues with colleagues can disrupt workflow and hinder time management.
Overall, utilizing the planning step of the nursing process is the most effective strategy for managing time and ensuring comprehensive and timely client care.
Question 3 of 5
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Use the complete name of the medication magnesium sulfate. This is important for clarity and to avoid confusion with other medications. Using the full name helps prevent errors in medication administration.
Choice B is incorrect because spacing between the dose and unit is less critical compared to using the full name of the medication.
Choice C is incorrect as insulin dosage should be expressed in units, not as the letter U.
Choice D is incorrect because "SC" stands for subcutaneous and should be used to indicate the route of administration, not for indicating an injection in general.
Question 4 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 5 of 5
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
Correct Answer: D
Rationale: The correct answer is D: The client holds the cane on the stronger side of her body. This is correct because when using a cane, it should be held on the stronger side to provide support and stability. Placing the cane on the stronger side helps to offload weight from the weaker side, reducing the risk of falls.
Choice A is incorrect because the top of the cane should ideally be at the level of the greater trochanter, not necessarily parallel to the wrist.
Choice B is vague and does not indicate correct use.
Choice C is incorrect as there is no specific measurement for how far the cane should be moved forward.
Choice E is incorrect as the client should move the weaker limb forward with the cane for support.