ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because advance directives do not require legal representation to be valid. Advance directives are legal documents that allow individuals to specify their medical treatment preferences in advance. They can be signed by the individual without the need for a lawyer. Option A is incorrect because medical care can still be provided even without advance directives. Option C is incorrect as advance directives must be written and signed documents. Option D is incorrect because social workers typically assist with other aspects of care, not legal representation.
Question 2 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. The priority is to understand the client's rationale behind refusal to address any barriers or concerns. This allows for tailored interventions to promote compliance and prevent complications like atelectasis. Requesting a respiratory therapist (
A) may be helpful later, but not the priority. Documenting refusal (
C) is important but doesn't address the root cause. Administering pain medication (
D) is not the priority over addressing the refusal.
Question 3 of 5
A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.
Question 4 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedure weight. This is the most appropriate action to evaluate the effectiveness of the paracentesis. Paracentesis is a procedure to remove fluid from the abdominal cavity. By comparing the client's current weight with the preprocedure weight, the nurse can assess the amount of fluid removed and determine the effectiveness of the procedure in relieving ascites, a common complication of end-stage liver disease. Checking for leakage at the site of the procedure is important for immediate post-procedure assessment but does not evaluate the effectiveness of the procedure. Confirming that the client is able to urinate is important for assessing kidney function but does not directly evaluate the effectiveness of the paracentesis. Checking the client's serum albumin levels is important for assessing liver function but does not specifically evaluate the effectiveness of the procedure in removing fluid.
Question 5 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.