ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse accidentally sticks her hand with a syringe after administering an IM injection to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials.
Question 2 of 5
A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to enhance communication? (Select All that Apply.)
Correct Answer: A,B,C,D
Rationale: Convey empathy for a client who voices painful emotions: Demonstrating empathy is essential. Show respect for a client who is making decisions about treatment: Respecting autonomy is vital. Exhibit receptive body language when discussing difficult topics: Nonverbal communication is significant. Speak to a client using clear and simple words and phrases: Clear language facilitates understanding.
Question 3 of 5
Clients with special needs require specific communication techniques. Which specific communication techniques should a nurse utilize when caring for a client who is cognitively impaired?
Correct Answer: A
Rationale: Keep communication simple and concrete: Using simple, straightforward language helps clients who are cognitively impaired to better understand the information being conveyed. Concrete language minimizes confusion and makes it easier for the client to process and respond to what is being said, promoting effective communication.
Question 4 of 5
The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?
Correct Answer: D
Rationale: Persons entering my room should perform hand hygiene before entering: This statement accurately reflects an understanding of the precautions needed in reverse isolation. Hand hygiene is critical in preventing the introduction of pathogens.
Question 5 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: B,D,E
Rationale: Contractures of the extremities: Contractures are a common complication of immobility. When a joint is not moved regularly, the muscles and tissues can shorten, leading to stiffness and loss of mobility in the affected area. Pressure ulcers: Pressure ulcers, also known as bedsores, are a significant risk for individuals with limited mobility. They develop due to prolonged pressure on the skin, particularly over bony prominences, leading to skin breakdown and tissue damage. Crackles in the lungs: Crackles can be heard during auscultation in patients who are immobile. They may develop due to fluid accumulation in the lungs, atelectasis, or pneumonia, which are all more likely to occur in individuals with limited mobility.