ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Bounding pulses in the affected extremity. This finding could indicate arterial occlusion, a serious complication post-cardiac catheterization that requires immediate intervention to prevent tissue damage or loss of limb. Discomfort at the insertion site (
A) is expected and can be managed with analgesics. Heart rate of 90/min (
B) is within normal range. Hematoma over the insertion site (
D) is a common minor complication that may resolve on its own.
Question 2 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This position helps promote a safe swallowing mechanism by facilitating proper alignment of the head and neck. Sitting at or below the client's eye level minimizes the risk of aspiration and choking during feeding. In contrast, option A (lifting chin when swallowing) may increase the risk of aspiration in clients with dysphagia. Option B (talking during feeding) can lead to distractions and increase the risk of choking. Option D (discouraging coughing) is incorrect because coughing is a protective mechanism to clear the airway and should not be discouraged during feedings.
Question 3 of 5
nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork belowi. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct Answer: D
Rationale:
1. Crackles are typically heard in the lower lung fields where fluid accumulates in pneumonia.
2. Anterior chest wall location D corresponds to the lower lung fields where crackles are most likely to be heard.
3. By auscultating at location D, the nurse can accurately assess for crackles in the affected area.
Summary:
- A, B, and C are incorrect as they are higher on the chest wall and not where crackles are typically heard in pneumonia.
- E, F, and G are not valid choices as they do not correspond to any specific lung fields for auscultation in pneumonia.
Question 4 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored
Question 5 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 assess the client's rationale for refusal to address any underlying concerns or misconceptions. This allows the nurse to provide education, support, and encouragement tailored to the client's needs. Requesting a respiratory therapist may be helpful but doesn't address the client's specific reasons for refusal. Documenting refusal is important but doesn't address the immediate need to understand the client's perspective. Administering pain medication may alleviate discomfort but doesn't address the client's refusal.