ATI RN
ATI RN Fundamentals 2023 I 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 action is to help the client lie on the floor first. This is crucial to prevent injury during a seizure as it provides a safe environment for the client. By lying on the floor, the client is protected from falling out of the chair, hitting their head, or sustaining other injuries. Moving items in the room away from the client, loosening clothing, and turning the client onto their side are important actions, but they should be done after ensuring the client is safely on the floor. These actions can be taken once the immediate risk of injury is minimized by having the client lie down.
Question 2 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: A
Rationale: The correct answer is A: Walk for 30 minutes three to five times each week. Walking is a weight-bearing exercise that helps prevent osteoporosis by strengthening bones. Weight-bearing exercises stimulate bone formation and slow down bone loss. Walking for 30 minutes three to five times a week helps improve bone density and reduce the risk of fractures. Performing water aerobics (choice
B) is beneficial for overall fitness but may not have the same impact on bone density as weight-bearing exercises. Maintaining a lean body mass (choice
C) is important for overall health but does not specifically target osteoporosis prevention. Increasing intake of vitamin B12 (choice
D) is important for nerve function and red blood cell production but is not directly related to osteoporosis prevention.
Question 3 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse’s priority?
Correct Answer: B
Rationale: The correct answer is B: The client coughs frequently while eating. This is the priority because it indicates a risk of aspiration, which can lead to serious complications like pneumonia. Aspiration occurs when food or liquid enters the airway instead of the esophagus. The nurse should address this immediately to prevent respiratory issues.
A: Leaning to the left side is concerning but does not pose an immediate threat to the client's health compared to aspiration risk.
C: Consuming only 25% of meals is important but does not pose an immediate risk to the client's health as aspiration does.
D: While high blood pressure is a concern, it is not the priority over the risk of aspiration. The nurse should address the immediate threat first.
Question 4 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: B
Rationale: The correct answer is B: I will perform ankle and knee exercises every hour. This statement indicates an understanding of the teaching because regular ankle and knee exercises help prevent muscle atrophy and improve circulation, reducing the adverse effects of immobility.
Choice A is incorrect as removing antiembolic stockings increases the risk of blood clots.
Choice C is incorrect as holding breath while rising can lead to orthostatic hypotension.
Choice D is incorrect as changing positions every 2 hours is recommended to prevent pressure ulcers.
Question 5 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In emergency situations where a patient is unconscious and requires immediate surgery to save their life, the healthcare provider has a duty to act in the best interest of the patient. The principle of beneficence dictates that the nurse should prioritize the patient's well-being and take necessary actions to provide timely treatment. In this case, preparing the client for surgery is crucial to ensure that they receive the necessary medical intervention promptly. Waiting for a family member to arrive for consent or contacting the ethics committee could delay potentially life-saving treatment. Obtaining consent from the surgeon is not appropriate as the surgeon's role is to perform the surgery, not provide consent.
Therefore, option A is the most appropriate course of action in this scenario.