ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Acupuncture involves inserting needles into specific points on the body to alleviate pain. In the case of herpes zoster (shingles), which is a viral infection affecting nerves and causing a painful rash, there is a risk of spreading the infection through the needle insertion sites. This can lead to further complications and worsen the condition.
Therefore, it is a contraindication for receiving acupuncture treatment.
Choice A: Hypertension is not a contraindication for acupuncture. In fact, acupuncture can help with managing hypertension.
Choice B: Obesity is not a contraindication for acupuncture. Acupuncture can be beneficial for weight management and overall health.
Choice C: Hypothyroidism is not a contraindication for acupuncture. Acupuncture can help regulate thyroid function and manage symptoms of hypothyroidism.
Question 2 of 5
A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and comfort. Sitting also conveys a sense of attentiveness and empathy, which can help the client feel more at ease and open up during the health history assessment. Standing at the side of the bed (
B) may create a sense of imbalance or distance. Sitting on the bed (
C) can invade the client's personal space and may not be professional. Standing at the foot of the bed (
D) can be intimidating and lacks a sense of closeness and connection.
Question 3 of 5
A nurse is caring for a client who is immobilized. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps maintain proper alignment and prevents foot drop, which can lead to contractures. Placing a pillow under the client's knees (
A) may alleviate pressure but does not directly address contracture prevention. Similarly, placing a towel roll under the client's neck (
B) and aligning a trochanter wedge between the client's legs (
C) focus on comfort and positioning but not specifically on preventing contractures. Applying an orthotic to the client's foot (
D) is the most appropriate choice as it directly addresses the risk of contractures by maintaining proper alignment and preventing muscle shortening.
Question 4 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 5 of 5
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct assessments for identifying an older adult client's safety needs are B, C, D, and E. Pupil clarity is important to assess for any visual impairments that may affect balance and mobility. The appearance of bulbar conjunctivae can indicate any eye conditions that might increase fall risk. Evaluating visual fields can detect peripheral vision issues that can impact navigation and safety. Lastly, assessing visual acuity is crucial to determine the client's ability to see clearly and avoid obstacles.
Choices A and F are irrelevant to assessing fall risk in older adults.
Choice G is not provided.