ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, E, C, D, A
Rationale: Correct Order: B, E, C, D, A
Rationale:
1. Obtain the pronouncement of death from the provider (
B) is the first step to officially declare the client deceased.
2. Ask the client's family members if they would like to view the body (E) to involve them in the process and offer closure.
3. Remove tubes and indwelling lines (
C) to ensure the body is prepared for further care.
4. Wash the client's body (
D) as part of maintaining dignity and respect for the deceased.
5. Place a name tag on the body (
A) for identification purposes.
Summary:
- F and G are missing steps and do not contribute to the immediate post-death care.
- Choosing A first may not be appropriate until the body is ready for identification.
- Other steps like notifying authorities or documenting events are not included in the given choices.
Question 2 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct as documenting the provider's instructions in the medical record ensures clear communication and accountability. This helps track the client's condition and the actions taken.
Choices B, C, and D are incorrect as they do not address the immediate need to follow the surgeon's instructions. The priority is to ensure the client's vital signs are monitored as directed.
Question 3 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to help relieve pain. However, in the case of herpes zoster, also known as shingles, which is a viral infection affecting the nerves and causing a painful rash, there is a risk of spreading the virus through the insertion of needles. This could potentially worsen the condition and lead to complications.
Therefore, acupuncture is contraindicated for clients with herpes zoster.
A: Biofeedback, B: Aloe, and C: Reflexology are generally considered safe complementary therapies for pain control and do not pose a risk of spreading the virus in the case of herpes zoster. Biofeedback helps individuals learn to control physiological processes, aloe has soothing properties, and reflexology involves applying pressure to specific points on the feet or hands to promote relaxation and pain relief.
Question 4 of 5
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A - We would consult the person appointed by your health care proxy to make decisions.
Rationale: In this situation, the client has a living will indicating a preference to decline resuscitation. By consulting the health care proxy appointed by the client, the healthcare team ensures that the client's wishes are respected and appropriate decisions are made in line with the client's preferences. This approach upholds the client's autonomy and ensures that their end-of-life care is managed according to their expressed desires.
Incorrect
Choices:
B: We would give you oxygen through a tube in your nose. - This response does not address the client's specific question about the living will and resuscitation preferences.
C: You would be unable to change your previous wishes about your care. - This response is not accurate as clients have the right to modify their living will and advance directives.
D: We would insert a breathing tube while we evaluate your condition. - This response does not acknowledge the client's wishes regarding res
Question 5 of 5
A nurse is caring for a client who has a terminal illness, and the client's partner indicates effective coping. The nurse should recognize that which of the following statements is an indication of effective coping?
Correct Answer: B
Rationale: The correct answer is B: "I am relying on support from our family during this time." This statement indicates effective coping as it shows the client is utilizing the support system available, which is a healthy way to manage stress and emotions during a difficult time. It demonstrates the client's willingness to seek help and share the burden with loved ones.
Explanation for why other choices are incorrect:
A: "I am not worried because I will have hope that he will be okay." This statement shows denial rather than effective coping.
C: "We can plan our family reunion once he recovers and comes home." This statement indicates avoidance of the reality of the situation.
D: "We don't see any reason to start discussing funeral arrangements right now." This statement shows avoidance of discussing important end-of-life matters.