ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has chronic pain. Which of the following findings is associated with chronic pain?
Correct Answer: D
Rationale: Constricted pupils relate to opioid use, not chronic pain itself. Bradycardia isn’t typical; diaphoresis is more acute. Depression is a common long-term effect of chronic pain due to its impact on quality of life.
Question 2 of 5
A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Friction prevention is a benefit but not the primary purpose. Arms should be crossed over the chest, not at the sides. The bed should be flat, not elevated. Logrolling maintains spinal alignment, critical for clients with spinal issues.
Question 3 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: Adjusting the head of the bed to 90° is a recommended practice for clients with dysphagia. This position helps facilitate swallowing and reduces the risk of aspiration by using gravity to assist the passage of food and liquids from the mouth to the stomach. Drinking thickened juice with a straw is not recommended for clients with dysphagia. Using a straw can increase the speed and force with which liquids enter the mouth, making it harder to control the swallow and increasing the risk of aspiration. Thickened liquids are designed to move more slowly, giving the client more control over swallowing, but using a straw negates this benefit. Taking frequent breaks while eating is a good practice for clients with dysphagia. It allows them to chew and swallow food thoroughly, reducing the risk of choking and aspiration. This practice also helps prevent fatigue, which can impair swallowing function. Tucking the chin when swallowing, also known as the chin-tuck maneuver, is a common technique used to help clients with dysphagia. This action helps protect the airway by narrowing the space and reducing the risk of aspiration.
Question 4 of 5
A nurse is caring for a client who has an NG tube set to low-intermittent suction for gastric decompression. The nurse observes that the NG tube is not draining. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lowering the bed to 15 degrees may assist drainage but is less effective than clearing a potential blockage. Injecting 10 mL of air into the vent lumen is a standard technique to dislodge obstructions, restoring drainage. High suction risks gastric mucosa damage, and connecting the air vent to suction disrupts its purpose of preventing adherence to the stomach lining.
Question 5 of 5
A nurse is caring for a client who is exhibiting violent behavior and requires the application of wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Quick-release ties ensure safety by allowing rapid removal in emergencies. A prescription is needed but not the first action. Securing to side rails risks injury, and two fingers (not three) is the correct spacing.