ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the following images should the nurse identify as indicating the correct technique for eliciting the client's patellar reflex?
Correct Answer: A
Rationale: The correct answer is A. The nurse should identify this image as indicating the correct technique for eliciting the client's patellar reflex because the client is sitting with legs dangling over the edge of the table, which allows the quadriceps muscle to be in a slightly stretched position. The examiner is tapping below the patella with a reflex hammer, directly stimulating the patellar tendon to elicit the reflex. This position and technique are essential for a proper response, as it activates the muscle spindle fibers to trigger the reflex arc involving the sensory and motor neurons.
Choices B, C, and D are incorrect because they do not follow the correct technique for eliciting the patellar reflex. In choice B, tapping above the patella would not directly stimulate the patellar tendon. In choice C, having the client's legs crossed would not allow for proper muscle tension required for the reflex. In choice D, having the client standing with knees slightly bent may not provide the necessary muscle tension or positioning for an accurate
Question 2 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale: The correct choices are A, B, C, and E.
A) Wearing an N95 mask is essential for respiratory protection.
B) Placing a container for soiled linens in the room prevents contamination.
C) Isolating the client in a negative airflow room helps prevent the spread of airborne pathogens. E) Wearing a sterile water-resistant gown within 3 feet of the client reduces the risk of contact transmission.
D) Removing the mask after exiting the room increases the chance of self-contamination. Thus, D is incorrect. Option F and G are not provided in the question.
Question 3 of 5
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I am available to talk if you should change your mind." This response demonstrates empathy, support, and readiness to provide assistance. By offering to talk if the client changes their mind, the nurse is acknowledging the client's autonomy in decision-making and providing an open invitation for further discussion. This approach respects the client's current choice while also ensuring the availability of emotional support if needed.
Other choices are incorrect:
A: This response prioritizes documentation over the client's emotional well-being.
B: This statement may provide false reassurance and does not address the client's emotional needs.
D: While support groups can be beneficial, making this referral without the client's consent or request may not be appropriate at this stage.
E, F, G: These options are not provided in the question, so they are irrelevant.
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
Extract:
Nurses’ Notes 1000: Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackies heard n left upper lobe and decraased braath sounds at bases bilaterally. 0 Heartate
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Question 5 of 5
A nurse is caring for 3 clients who have COPD. Select the 3 findings that require follow-up. Nurses' Notes: Temperature 100°F, oxygen saturation 88%, blood pressure 130/80 mmHg. Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackles heard in the left upper lobe and decreased breath sounds at bases bilaterally. Heart rate 98 beats/min.
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. A temperature of 100°F indicates possible infection or inflammation, requiring follow-up. Oxygen saturation of 88% is below the normal range (95-100%), indicating hypoxemia. A heart rate of 98 beats/min is elevated, possibly due to hypoxemia or increased work of breathing. Blood pressure of 130/80 mmHg is within normal limits. Crackles in the left upper lobe and decreased breath sounds suggest lung pathology but do not require immediate follow-up.