ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and make it easier for them to use the toilet safely. A raised toilet seat can help improve bathroom safety and accessibility for older adults with mobility issues.
Incorrect
Choices:
A: Using extension cords can actually increase the risk of fire hazards and electrical accidents, so this is not a safe option.
C: Covering slippery stairs with an area rug can increase the risk of tripping and falling, so this is not a recommended safety measure.
D: Securing loose wires under carpeting can cause a tripping hazard and potential electrical risks, so this is not a safe practice.
Question 2 of 5
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Administers an analgesic medication 5 minutes before starting irrigation. Administering an analgesic medication before wound irrigation helps to manage the client's pain during the procedure, promoting comfort and compliance. This action indicates the staff nurse's understanding of the importance of pain management in wound care.
Rationale for why the other choices are incorrect:
A: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client due to the cold temperature.
C: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination and infection.
D: Using a syringe with a catheter for wound irrigation is not the standard practice for pressure injury wound irrigation and may not provide effective cleansing of the wound.
Question 3 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D - "My medications could interact with foods that I eat."
Rationale:
1. Medications can interact with foods: Some medications can have interactions with certain foods, affecting their effectiveness or causing side effects.
2. Importance of awareness: Being aware of potential food-drug interactions is crucial to ensure medication safety and effectiveness.
3. Client safety: Understanding the possibility of food-medication interactions shows the client's comprehension of medication safety, indicating responsible behavior.
Summary of Incorrect
Choices:
A: Incorrect - Not informing the doctor about herbal supplements can lead to potential drug interactions.
B: Incorrect - Past use of medications does not guarantee immunity to allergic reactions; precautions are still necessary.
C: Incorrect - Stopping medication abruptly can be dangerous; consulting a healthcare provider is crucial.
Question 4 of 5
A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, 'I am looking forward to seeing my grandchildren grow up.' The nurse should identify that the client is experiencing which of the following stages of grief?
Correct Answer: A
Rationale: The correct answer is A: Denial. The client expressing excitement about seeing their grandchildren grow up despite being diagnosed with a terminal illness indicates denial, a common stage of grief where individuals refuse to accept the reality of their situation. The client's focus on future plans instead of addressing the terminal diagnosis signifies an attempt to avoid the emotional pain associated with the diagnosis.
Choices B, C, and D are incorrect as they represent different stages of grief. Anger involves feelings of resentment and frustration, bargaining involves seeking ways to prevent the inevitable, and acceptance involves coming to terms with the reality of the situation.
Question 5 of 5
A nurse is planning care for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Measure the length of the client's leg from the heel to the gluteal fold. This step ensures proper sizing of the antiembolic stockings to promote optimal circulation and prevent complications like deep vein thrombosis. Measuring from the heel to the gluteal fold helps in selecting the appropriate length that fits the client's leg correctly without being too tight or loose. This precise measurement ensures the stockings exert the right amount of pressure to enhance venous return. In contrast, option A does not directly relate to the application of the stockings, option C is incorrect as pointing toes may cause discomfort, and option D is incorrect as rolling down the stockings compromises their effectiveness.