Questions 85

ATI RN

ATI RN Test Bank

ATI Fundamental Exams Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

Correct Answer: A

Rationale: A cool, pale hand indicates impaired circulation, likely from a tight restraint, requiring loosening. Full range of motion and rapid capillary refill are normal, and attempting removal suggests looseness, not tightness.

Question 2 of 5

A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client?

Correct Answer: D

Rationale: Protective precautions are used for immunocompromised clients like those post-stem-cell transplant to prevent infections from all sources. Contact, airborne, and droplet precautions target specific transmission modes.

Question 3 of 5

A nurse is caring for a client who reports stress related to homelessness. The nurse should identify that the client is experiencing which of the following types of stressors?

Correct Answer: A

Rationale: Homelessness is a socioeconomic stressor, impacting health and well-being due to economic and social factors. Adventitious stressors are traumatic events, cultural stressors involve identity conflicts, and developmental stressors relate to life stages.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of lung cancer. The client states they do not want to tell their partner their diagnosis. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Offering to discuss concerns respects the client’s autonomy and encourages open dialogue. Other responses are judgmental, confrontational, or impose assumptions, potentially discouraging communication.

Question 5 of 5

A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Correct Answer: C

Rationale: Yogurt is a semi-solid, not suitable for a clear liquid diet, which includes transparent, easily digestible fluids like gelatin, popsicles, and broth. The choice of yogurt indicates a misunderstanding of the diet.

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