ATI RN
ATI RN Fundamentals 2023 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: C
Rationale: The correct answer is C: "It's nice having other people cook for me." This statement indicates that the client has adapted to their new situational role because they are acknowledging and appreciating the help and support provided by their adult child in terms of meal preparation. This shows acceptance of their changed circumstances and a willingness to rely on others for assistance, which is a positive sign of adaptation.
Other choices are incorrect:
A: "I'm looking forward to being able to be independent again." This statement indicates a desire for independence, not necessarily adaptation to the new situation.
B: "I've never been the kind of person to ask others for help." This statement suggests resistance to seeking help, which is not indicative of adaptation.
D: "I really don't know what I'm supposed to do all day." This statement indicates confusion and uncertainty, showing a lack of adjustment to the new living arrangement.
Question 2 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "The scale measures six elements." The Braden scale indeed assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This response shows an understanding of the scale's components.
Choice B is incorrect because the client's age is not a factor in the Braden scale assessment.
Choice C is incorrect as a higher score on the Braden scale indicates a lower pressure injury risk.
Choice D is incorrect because each element on the Braden scale has a range from one to four points, not one to five.
Question 3 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This professional specializes in evaluating and treating swallowing difficulties, known as dysphagia, which is common after a stroke. The speech-language pathologist can assess the client's swallowing function, provide strategies to improve safety during meals, and recommend appropriate diet modifications. The other choices, such as social worker, physical therapist, and occupational therapist, do not have the specific expertise in managing swallowing disorders like a speech-language pathologist does in this scenario.
Question 4 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 5 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: B
Rationale: The correct answer is B: Right lateral in Trendelenburg position. Placing the client in a right lateral position helps target the left lower-lobe atelectasis by allowing drainage of secretions from that specific area. Trendelenburg position further aids in promoting drainage due to the head being lower than the feet, assisting gravity in moving secretions. Other options are incorrect as they do not provide the specific positioning needed to target the left lower-lobe atelectasis effectively. Side-lying with the right side of the chest elevated would not facilitate drainage from the affected lobe. Placing the client prone with pillows under the lower extremities or supine in low-Fowler's position would not target the specific area requiring drainage.