ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to clear the nearby area of furniture (choice
C) during a seizure to prevent injury. Moving the client (choice
A) may worsen the seizure. Turning the client onto their back (choice
B) can lead to aspiration. Placing a tongue depressor in the mouth (choice
D) can cause airway obstruction. The other choices are irrelevant or potentially harmful.
Question 2 of 5
A nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Reduce intake of red meats. Red meats are known to increase the risk of colorectal cancer due to their high saturated fat content.
Therefore, advising the client to reduce red meat intake is a crucial preventive measure. A: Having a fecal occult blood test every 2 years is recommended for screening, not prevention. B: Limiting intake of dietary fiber is incorrect as fiber-rich foods actually help prevent colorectal cancer. D: Having a colonoscopy every 3 years is important for screening, but not a primary prevention guideline.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, 'I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "We can discuss several scheduling options for monitoring your blood glucose."
Rationale:
1. This response acknowledges the client's concern and shows empathy.
2. By offering to discuss scheduling options, the nurse empowers the client to be involved in finding a solution that fits their busy schedule.
3. It promotes client autonomy and self-management, which are crucial in managing a chronic condition like diabetes.
Summary of Incorrect
Choices:
A: This choice is not comprehensive as it only suggests checking before eating, which may not be sufficient for effective monitoring.
C: Asking the client to completely reorganize their schedule may not be practical or realistic.
D: Relying solely on the provider to set a monitoring schedule does not promote client empowerment or self-management.
Question 4 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Left lower extremity tenderness. This finding should be identified as the priority because it could indicate a potential Deep Vein Thrombosis (DVT), a serious complication of prolonged bed rest. DVT can lead to life-threatening conditions like pulmonary embolism. Increased heart rate during physical activity (
A) is expected after a period of inactivity. Loss of appetite (
B) is a common consequence of bed rest but is not as urgent as investigating for DVT. Musculoskeletal weakness (
D) is also expected after prolonged bed rest but does not pose an immediate threat compared to potential DVT.
Question 5 of 5
A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Collect the sputum specimen in the morning. This is because sputum is usually more concentrated and easier to collect in the morning due to the buildup overnight. Using sterile gloves (
Choice
A) is not necessary for sputum collection unless the patient has a compromised immune system. Obtaining the specimen after mouthwash (
Choice
B) can alter the normal flora in the mouth. Placing the specimen in a clean container (
Choice
D) is not sufficient, as it should be placed in a sterile container for accurate results.