ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 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 an emergency situation where the client is unconscious and no one is available to give consent, the nurse must act in the best interest of the client. This includes providing necessary and life-saving treatment without delay. Delaying surgery to wait for consent may jeopardize the client's health and violate the principle of beneficence. Contacting the ethics committee (
B) may cause further delay, and keeping the client stable until a family member arrives (
C) may not be feasible in urgent cases. Obtaining consent from the surgeon (
D) is not ethically appropriate as the surgeon cannot provide consent on behalf of the client.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: C
Rationale: The correct answer is C: "It's nice having other people cook for me." This statement indicates that the client has adapted to their new situational role because they are acknowledging and appreciating the help and support provided by their adult child in terms of meal preparation. This shows acceptance of their changed circumstances and a willingness to rely on others for assistance, which is a positive sign of adaptation.
Other choices are incorrect:
A: "I'm looking forward to being able to be independent again." This statement indicates a desire for independence, not necessarily adaptation to the new situation.
B: "I've never been the kind of person to ask others for help." This statement suggests resistance to seeking help, which is not indicative of adaptation.
D: "I really don't know what I'm supposed to do all day." This statement indicates confusion and uncertainty, showing a lack of adjustment to the new living arrangement.
Question 3 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will walk three times per week." Walking is weight-bearing exercise, which helps build bone density and reduce the risk of osteoporosis. Weight-bearing exercises stimulate bone growth and strengthen bones. This statement indicates that the client understands the importance of physical activity in maintaining bone health.
Incorrect
Choices:
A: Avoiding exposure to the sun is not recommended as sunlight exposure helps the body produce Vitamin D, essential for calcium absorption.
B: Decreasing intake of dairy products can lead to a lack of calcium, which is crucial for bone health.
D: Taking only 250 milligrams of calcium once per day is insufficient for most older adults who require higher doses to maintain bone health.
Question 4 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale:
Correct
Answer: A, B, C
Rationale:
A: Placing the client in high-Fowler's position helps improve lung expansion and oxygenation.
B: Administering oxygen is crucial to treat hypoxia and improve oxygen levels in the blood.
C: Stopping the transfusion is necessary as the client is showing signs of fluid overload, which can lead to heart failure.
Incorrect choices:
D: Administering a diuretic may worsen the situation by further decreasing fluid volume.
E: Administering epinephrine is not indicated for these symptoms and can worsen the client's condition.
Question 5 of 5
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Cutting the old ties after securing the new ties ensures that the client's airway remains stable throughout the procedure. If the old ties are cut before securing the new ties, there is a risk of accidental decannulation, leading to potential airway compromise. This step-by-step approach prioritizes patient safety and prevents unnecessary risks during the tracheostomy tie change.
Summary:
A: Allowing space for three fingers under the ties is important for proper fit but not the immediate action needed during the tie change.
B: Using a quick-release knot may be helpful for easy removal in emergencies but is not the primary concern during the tie change.
C: Extending the client's neck may help with visualization but is not essential for securing the ties.
D: Cutting the old ties after securing the new ties is the correct action to maintain airway stability.
E, F, G: No information provided.