ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Using grab bars when getting in and out of the bathtub enhances safety.
B: Having a fire escape plan is crucial for emergency preparedness.
C: Checking medication expiration dates ensures medication efficacy.
These choices promote home safety. Incorrect choices D and E can be dangerous. Setting the hot water heater to 140 degrees Fahrenheit can cause scalding burns. Applying tape to electrical cords is a fire hazard.
Question 2 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B: Have you thought about harming yourself?
Rationale: This response is crucial as it directly addresses the client's statement about wanting to die. It shows the nurse's concern for the client's safety and well-being. By asking about potential self-harm, the nurse can assess the client's level of risk and take appropriate actions to ensure their safety.
Incorrect
Choices:
A: You should discuss these feelings with your provider.
- This response delays addressing the immediate risk of self-harm and may not provide the necessary support in a critical moment.
C: Why did you stop taking your medication?
- While important, this question is not as urgent as assessing the client's immediate safety regarding self-harm.
D: Tell me more about your partner.
- While understanding the client's emotions is important, this response does not address the immediate risk of self-harm and may not prioritize the client's safety.
Question 3 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Performing ankle and knee exercises every hour helps prevent muscle atrophy and improve circulation, reducing adverse effects of immobility. This promotes joint mobility and prevents blood clots.
Choice B: Having a partner help change positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C: Removing antiembolic stockings while in bed can increase the risk of blood clots as they are meant to promote circulation.
Choice D: Holding breath when rising from a sitting position can lead to dizziness and falls, not addressing the adverse effects of immobility.
Question 4 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 5 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Asking the client directly if they have thought about harming themselves is crucial in assessing suicidal ideation. This response shows the nurse's concern for the client's safety and opens up a dialogue for further assessment and intervention.
Summary:
A: While discussing feelings with the provider is important, addressing immediate safety concerns takes precedence.
C: Inquiring about medication cessation is relevant but not as urgent as assessing suicidal thoughts.
D: Understanding the client's relationship is valuable, but safety assessment is the priority in this situation.