ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: The correct answer is A. The area rug covering a tile floor is a safety hazard for the client with osteoporosis as it increases the risk of falls. The uneven surface can cause tripping and slipping accidents, leading to fractures. The other choices are safe practices. B: Grab bars in the shower promote stability and prevent falls. C: Using a medication organizer ensures proper medication management. D: Setting the hot water heater at 47°C prevents scalding injuries.
Question 2 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:
Correct Answer: D
Rationale: Cutting the old ties after securing the new ties ensures that the client's airway remains stable throughout the procedure. If the old ties are cut before securing the new ties, there is a risk of accidental decannulation, leading to potential airway compromise. This step-by-step approach prioritizes patient safety and prevents unnecessary risks during the tracheostomy tie change.
Summary:
A: Allowing space for three fingers under the ties is important for proper fit but not the immediate action needed during the tie change.
B: Using a quick-release knot may be helpful for easy removal in emergencies but is not the primary concern during the tie change.
C: Extending the client's neck may help with visualization but is not essential for securing the ties.
D: Cutting the old ties after securing the new ties is the correct action to maintain airway stability.
E, F, G: No information provided.
Question 3 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the client's feelings and shows empathy. By reflecting the client's concern about the future, the nurse validates their emotions and opens up the opportunity for further discussion and support. Option A minimizes the client's concerns, B dismisses their feelings, and D is confrontational and may make the client feel judged.
Therefore, choice C is the most therapeutic response as it promotes a trusting nurse-client relationship.
Question 4 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?
Correct Answer: B
Rationale: The correct answer is B: Ensure the client is free of metal objects. This is important because during an intravenous pyelogram, metal objects can interfere with the imaging process by causing artifacts on the images. Ensuring the client is free of metal objects helps to obtain clear and accurate results.
A: Assisting the client with a bowel cleansing is not necessary for an intravenous pyelogram procedure.
C: Administering oral contrast is not typically required for an intravenous pyelogram.
D: Monitoring for pain in the suprapubic region is not directly related to preparing for an intravenous pyelogram.
Question 5 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent choking or aspiration. Giving medications one at a time ensures the client can swallow each pill safely.
A: Assisting the client into semi-Fowler's position is generally beneficial for swallowing but is not directly related to medication administration for dysphagia.
B: Giving medications between meals may not be ideal for a client with dysphagia as they may need to take medications with food to avoid stomach upset.
C: Encouraging the use of a straw can increase the risk of aspiration for clients with dysphagia due to the potential for liquid to enter the airway.
E, F, G: Irrelevant options.