ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings clearly during nighttime, reducing the risk of tripping or falling. Placing a night light in the client's room promotes safety and enhances visibility, especially during sleep or when getting up at night. Elevating full-length side rails (Option
A) may restrict the client's mobility and independence, increasing the risk of falls. Placing the bedside table away from the bed (Option
B) does not directly address fall prevention. Keeping the room temperature at 18°C (Option
D) is not directly related to fall prevention.
Question 2 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The client's belief that his needs will be met through education is the most likely factor to increase motivation. When the client perceives that the education will help address his needs, he will be more motivated to learn and engage in the self-administration process. This belief reinforces the client's understanding of the benefits of learning and empowers him to take control of his health.
Summary of other choices:
A: While the nurse explaining the need for education is important, it may not necessarily increase the client's motivation as much as the client's belief in meeting his needs through education.
C: The nurse's empathy is crucial for building rapport and trust, but it may not directly impact the client's motivation to learn.
D: Seeking family approval can influence behavior, but it may not be the most significant factor in increasing motivation compared to the client's belief in meeting his needs through education.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Using grab bars when getting in and out of the bathtub enhances safety.
B: Having a fire escape plan is crucial for emergency preparedness.
C: Checking medication expiration dates ensures medication efficacy.
These choices promote home safety. Incorrect choices D and E can be dangerous. Setting the hot water heater to 140 degrees Fahrenheit can cause scalding burns. Applying tape to electrical cords is a fire hazard.
Question 4 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B: Have you thought about harming yourself?
Rationale: This response is crucial as it directly addresses the client's statement about wanting to die. It shows the nurse's concern for the client's safety and well-being. By asking about potential self-harm, the nurse can assess the client's level of risk and take appropriate actions to ensure their safety.
Incorrect
Choices:
A: You should discuss these feelings with your provider.
- This response delays addressing the immediate risk of self-harm and may not provide the necessary support in a critical moment.
C: Why did you stop taking your medication?
- While important, this question is not as urgent as assessing the client's immediate safety regarding self-harm.
D: Tell me more about your partner.
- While understanding the client's emotions is important, this response does not address the immediate risk of self-harm and may not prioritize the client's safety.
Question 5 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: A
Rationale:
Correct
Answer: A
Rationale: Performing ankle and knee exercises every hour helps prevent muscle atrophy and improve circulation, reducing adverse effects of immobility. This promotes joint mobility and prevents blood clots.
Choice B: Having a partner help change positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C: Removing antiembolic stockings while in bed can increase the risk of blood clots as they are meant to promote circulation.
Choice D: Holding breath when rising from a sitting position can lead to dizziness and falls, not addressing the adverse effects of immobility.