ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 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: "It might help me to listen to music while trying to sleep." This answer indicates that the client understands non-pharmacological pain management strategies taught preoperatively. Music can distract from pain, promote relaxation, and improve sleep quality. Option A suggests misinterpreting the need for more frequent pain medication. Option B distracts from pain temporarily but does not address long-term management. Option D indicates avoidance behavior, which is not a constructive approach to pain management.
Question 2 of 5
nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork belowi. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct Answer: D
Rationale:
1. Crackles are typically heard in the lower lung fields where fluid accumulates in pneumonia.
2. Anterior chest wall location D corresponds to the lower lung fields where crackles are most likely to be heard.
3. By auscultating at location D, the nurse can accurately assess for crackles in the affected area.
Summary:
- A, B, and C are incorrect as they are higher on the chest wall and not where crackles are typically heard in pneumonia.
- E, F, and G are not valid choices as they do not correspond to any specific lung fields for auscultation in pneumonia.
Question 3 of 5
A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A. The nurse should use a filter needle to withdraw the medication.
Rationale: Using a filter needle helps prevent glass particles from entering the syringe, ensuring patient safety. Glass ampules can sometimes have small glass particles that could be harmful if injected. Using a filter needle filters out these particles, reducing the risk of contamination. It is essential for the nurse to prioritize patient safety by taking this precautionary measure.
Summary of other choices:
B: Breaking the neck of the ampule toward their body increases the risk of injury from glass shards.
C: Using the same needle for drawing up and injecting can introduce glass particles into the patient.
D: Disposing of the ampule in the trash can is an appropriate step but does not address the immediate safety concern of using a filter needle.
Question 4 of 5
A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.
Question 5 of 5
A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?
Correct Answer: B
Rationale: The correct answer is B: Palms of the hands. In dark-skinned individuals, cyanosis, a bluish discoloration of the skin due to decreased oxygen levels, can be difficult to detect. The palms of the hands are one of the best areas to assess for cyanosis in dark skin because the skin is thinner, allowing for better visualization of color changes. Other locations like the sacrum, shoulders, and areas of trauma may not provide an accurate assessment for cyanosis due to differences in skin thickness and pigmentation.
Therefore, observing the palms of the hands allows for a more reliable assessment of cyanosis in clients with dark skin.