ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
Choice B indicates difficulty accepting the transition as the client is isolating themselves from social activities due to perceived differences with other residents. This can lead to feelings of loneliness and reluctance to engage with the new community. In contrast, choices A, C, and D show the client adapting positively to the new environment by acknowledging benefits, following staff advice for safety, and finding alternative transportation solutions.
Summary:
Choice B stands out as the client's statement reflects potential social withdrawal, while the other choices demonstrate acceptance and adaptation to the changes in the assisted living setting.
Question 2 of 5
A nurse is assessing a client who has risk factors for developing heart disease. Which of the following factors does the nurse recognize as a modifiable risk factor?
Correct Answer: D
Rationale: The correct answer is D: Physical inactivity. This is a modifiable risk factor because individuals can make lifestyle changes to increase physical activity levels, which can help reduce the risk of developing heart disease. Regular exercise can improve cardiovascular health, lower blood pressure, and reduce the risk of obesity.
A: Hypertension in a parent is not modifiable as it is a genetic predisposition.
B: Cultural beliefs do not directly impact heart disease risk and are not modifiable.
C: Air quality is an environmental factor that is not easily modifiable on an individual level.
In summary, physical inactivity is the only modifiable risk factor in the given choices, making it the correct answer.
Extract:
A nurse is caring for a client who is scheduled for surgery.
Exhibit 1
Medical History
0800:
Client has a history of malnutrition, hyperlipidemia, and diabetes mellitus.
Mini Nutritional Assessment screening tool score of 7 points (0 to 14 points)
Question 3 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply
Correct Answer: A,C,E,F
Rationale: The correct answers are A, C, E, and F.
A: History of diabetes mellitus - Diabetes affects blood flow and impairs the immune system, leading to delayed wound healing.
C: Prealbumin level - Low prealbumin levels indicate malnutrition, which can hinder wound healing.
E: Mini Nutritional Assessment screening tool score - A low score indicates poor nutritional status, impacting wound healing.
F: History of malnutrition - Malnourished individuals lack essential nutrients needed for proper wound healing.
The incorrect choices:
B: Cholesterol level - Cholesterol levels do not directly impact wound healing.
D: History of hyperlipidemia - Hyperlipidemia does not necessarily affect wound healing.
Extract:
Question 4 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Placing the client in high-Fowler's position helps improve oxygenation by maximizing lung expansion.
C: Administering oxygen is essential to improve oxygen levels and support respiratory function.
E: Stopping the transfusion is crucial as the client is showing signs of fluid overload, indicated by crackles and distended neck veins.
Summary of Incorrect
Choices:
B: Administering epinephrine is not indicated as the client's symptoms are related to fluid overload, not anaphylactic reaction.
D: Administering a diuretic is not the immediate priority as it won't address the acute respiratory distress caused by fluid overload.
Question 5 of 5
A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Cut the old ties after the new ties are secured. This is the correct action as it ensures the client's airway remains stable during the tie change process. By securing the new ties first before cutting the old ones, the nurse prevents accidental decannulation, maintaining the client's airway patency.
Choice A is incorrect because extending the client's neck may cause discomfort and is unnecessary for securing the ties.
Choice B is incorrect as quick-release knots are not recommended for tracheostomy ties due to the risk of accidental untying.
Choice C is incorrect as allowing space for three fingers under the ties does not ensure proper securement.
In summary, cutting the old ties after securing the new ties is crucial for maintaining the client's airway safety during a tracheostomy tie change.