ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: D
Rationale: The correct answer is D: "It’s nice having other people cook for me." This statement indicates the client has adapted to their new situational role by accepting help from others, showing a shift from previous independence. The client acknowledging and appreciating the assistance with daily tasks like cooking signifies a positive adjustment.
Explanation of why other choices are incorrect:
A: "I’ve never been the kind of person to ask others for help" - This statement suggests a reluctance to seek help, indicating a lack of adaptation to the new situation.
B: "I’m looking forward to being able to be independent again" - This statement reflects a desire to regain independence, not necessarily adapting to the current living arrangement.
C: "I really don’t know what I’m supposed to do all day" - This statement indicates confusion and uncertainty, not adaptation to the new role.
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube. The collar provides stability and support to keep the tube in place. Cutting a gauze pad to place under the flanges (
A) is not necessary and may increase the risk of infection. Cleansing the skin with full-strength hydrogen peroxide (
B) can be irritating and damaging to the skin. Wearing clean gloves while cleaning the inner cannula (
D) is essential for infection control but is not directly related to securing the tracheostomy in place.
Question 3 of 5
A nurse in a clinic is teaching a client who has diabetes mellitus about self-administration of insulin using a prefilled, multidose pen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Use pen needles that have a safe-needle protection device attached. This is important because it helps prevent accidental needle sticks and ensures safe disposal. Using needles with safety features reduces the risk of injury to both the client and healthcare provider. Option A is incorrect as pinching the skin can affect proper insulin absorption. Option C is incorrect as recapping needles increases the risk of needle-stick injuries. Option D is incorrect as removing the needle before disposing of it can lead to accidental needle sticks.
Question 4 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with a night light. This is important to reduce the risk of falls during nighttime when visibility is reduced. Placing the bedside table away from the bed (choice
A) does not directly address fall risk. Elevating full-length side rails (choice
C) may restrict the client's movement and increase the risk of injury. Keeping the room temperature at 18°C (choice
D) is important for comfort but does not directly impact fall risk.
Question 5 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.