ATI RN
ATI RN Fundamentals 2023 II 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. This statement indicates that the client has adapted to their new situational role because it shows acceptance and appreciation of the assistance provided by their adult child. By stating, "It's nice having other people cook for me," the client acknowledges and values the support and care being offered, demonstrating a positive adjustment to their changed living situation.
A: This statement suggests a desire for independence, which may indicate the client is not fully adapted to relying on their adult child.
B: This statement indicates confusion and uncertainty, signaling a lack of adjustment to their new living arrangement.
C: This statement reflects a reluctance to ask for help, which may hinder the client's ability to adapt and receive necessary support.
Question 2 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Pudding. Pudding is part of a full liquid diet, which includes foods that are liquid at room temperature and don't require chewing. This demonstrates understanding of the progression from a clear liquid diet to a full liquid diet. Bananas (
A) and cooked vegetables (
B) require chewing and are not part of a full liquid diet. Yogurt with fruit (
C) contains solid pieces of fruit, which may not be suitable for a full liquid diet. In summary, pudding is the appropriate choice as it aligns with the requirements of a full liquid diet, while the other options do not meet this criteria.
Question 3 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to prevent irritation and damage to the stoma. If the pouch is too tight, it can constrict blood flow and cause injury. Rubbing the peristomal skin dry (
A) can cause irritation, applying the pouch while the skin is damp (
B) can lead to poor adhesion, and changing the pouch every 24 hours (
C) is unnecessary unless leakage or skin irritation occurs.
Question 4 of 5
A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Weight. Anthropometric assessment involves measuring body weight as part of evaluating a client's overall health status. Weight provides valuable information about a client's nutritional status, growth, and potential health risks. Respiratory rate (
A) is part of a vital signs assessment, not anthropometric assessment. Level of orientation (
C) pertains to mental status evaluation. Current pain level (
D) is important for assessing discomfort but is not part of anthropometric assessment.
Question 5 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. This statement indicates that the client has adapted to their new situational role because it shows acceptance and appreciation of the assistance provided by their adult child. By stating, "It's nice having other people cook for me," the client acknowledges and values the support and care being offered, demonstrating a positive adjustment to their changed living situation.
A: This statement suggests a desire for independence, which may indicate the client is not fully adapted to relying on their adult child.
B: This statement indicates confusion and uncertainty, signaling a lack of adjustment to their new living arrangement.
C: This statement reflects a reluctance to ask for help, which may hinder the client's ability to adapt and receive necessary support.