ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D. Helping the client lie on the floor is the first action to take during a seizure to prevent injury. By placing the client on the floor, the risk of falling from the chair and sustaining injuries is minimized. Loosening clothing (
A) can be done after ensuring safety. Turning the client onto their side (
B) is important to maintain a clear airway, but placing them on the floor takes precedence. Moving items in the room (
C) is not the priority over ensuring the client's safety.
Question 2 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: D
Rationale: The correct answer is D: Client advocate. The nurse manager is functioning in the role of a client advocate by ensuring the safety of the client during the straight catheterization procedure. Advocacy involves protecting the client's rights, promoting their well-being, and ensuring they receive safe and appropriate care. The other choices are incorrect because:
A) Case manager focuses on coordinating care and resources for the client,
B) Client educator involves providing information and teaching the client about their care, and
C) Client care provider refers to directly providing hands-on care to the client, which is not the primary role of the nurse manager in this scenario.
Question 3 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Assist the client with a bowel cleansing. Prior to an intravenous pyelogram, it is important to ensure the client has a clear bowel to improve visualization of the urinary tract. This is typically achieved through bowel cleansing to prevent any fecal material from obstructing the view of the kidneys and bladder during the procedure.
Incorrect choices:
A: Ensuring the client is free of metal objects is important for MRI scans, not intravenous pyelograms.
B: Monitoring for pain in the suprapubic region is not a standard preparation for an intravenous pyelogram.
D: Administering oral contrast is not typically required for an intravenous pyelogram, as the contrast material is injected intravenously for this procedure.
Question 4 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: D
Rationale: The correct answer is D: Assault. Assault is the intentional threat of harmful or offensive contact with a person, creating fear of imminent harm. In this scenario, the nurse's statement of administering medication by injection if the client doesn't comply constitutes a threat of harm, hence meeting the criteria for assault. Other choices are incorrect because: A: Invasion of privacy involves a violation of a person's right to privacy, not relevant here. B: Battery is the intentional harmful or offensive contact without consent, not applicable in this situation. C: Defamation involves false statements that harm a person's reputation, not happening here.
Question 5 of 5
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: C
Rationale: The correct answer is C: Wear a mask when working within 3 feet of the client. Wearing a mask helps prevent the spread of respiratory droplets containing the influenza virus. This action protects the nurse and other individuals from inhaling the virus. Administering metronidazole (
A) is not relevant for influenza treatment. Donning protective eyewear (
B) is not necessary unless there is a risk of splashes or sprays. Placing the client in a negative airflow room (
D) is excessive for standard isolation precautions for influenza.