ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?
Correct Answer: C
Rationale: The correct answer is C: Patient's name. This is because the patient's name is a unique identifier that ensures the nurse is assessing the correct individual. Room number (
A) may change, telephone number (
B) may not be accurate or updated, and diagnosis (
D) is not used for identifying the client. In a healthcare setting, using the patient's name is essential for accurate identification and to prevent errors in patient care.
Question 2 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: The correct answer is D, Three-point gait. In this gait, the client bears weight on the unaffected leg and both crutches, then advances the affected leg to the crutches. This gait is suitable for clients who can only bear weight on one leg as it provides the most stability and support. The other choices are incorrect because: A, Two-point alternating gait requires coordination and balance, not suitable for clients with limited weight-bearing ability. B, Swing-through gait requires good upper body strength and coordination, not ideal for clients with limited weight-bearing. C, Four-point alternating gait involves more complexity and coordination, not recommended for clients with one weight-bearing leg.
Question 3 of 5
A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of a mild allergic reaction. It presents as raised, red, itchy welts on the skin. This occurs due to the release of histamine in response to the allergen. Sore throat (choice
A) is not typically associated with a mild allergic reaction to antibiotics. Urinary frequency (choice
B) is more commonly linked to urinary tract infections rather than allergic reactions. Tinnitus (choice
C) is a symptom of inner ear problems and is not related to an allergic reaction. In summary, urticaria is the most indicative of a mild allergic reaction compared to the other options provided.
Question 4 of 5
A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?
Correct Answer: A
Rationale: The correct answer is A: A client who has tuberculosis. Tuberculosis is an airborne disease caused by Mycobacterium tuberculosis, transmitted through the air when an infected person coughs or sneezes. Placing this client in airborne precautions, such as a negative pressure room with respiratory protection, helps prevent the spread of the disease to others. Pneumonia (
B) is typically spread through respiratory droplets, so standard precautions are sufficient. Shigella (
C) is transmitted through fecal-oral route, requiring contact precautions. Strep throat (
D) is spread through respiratory droplets and requires standard precautions.
Question 5 of 5
A nurse is assessing an older adult client's perception of sexuality. Which of the following statements made by the client indicates a need for intervention?
Correct Answer: A
Rationale: The correct answer is A. The client's statement indicates a misconception about menopause and sexuality, as protection is still necessary to prevent sexually transmitted infections. This shows a lack of understanding and potentially risky behavior.
Choice B reflects awareness and proactive approach to sexual health.
Choice C reflects body image concerns, which are common but do not necessarily require immediate intervention.
Choice D shows a healthy interest in sexuality, which is normal for older adults.