ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse’s priority?
Correct Answer: B
Rationale: The correct answer is B: The client coughs frequently while eating. This is the priority because it indicates a risk of aspiration, which can lead to serious complications like pneumonia. Aspiration occurs when food or liquid enters the airway instead of the esophagus. The nurse should address this immediately to prevent respiratory issues.
A: Leaning to the left side is concerning but does not pose an immediate threat to the client's health compared to aspiration risk.
C: Consuming only 25% of meals is important but does not pose an immediate risk to the client's health as aspiration does.
D: While high blood pressure is a concern, it is not the priority over the risk of aspiration. The nurse should address the immediate threat first.
Question 2 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: The correct answers are B, C, F, and G.
B: The steroid dose will decrease each day to gradually taper off the medication and prevent withdrawal symptoms.
C: Adjusting the oxygen flow rate as needed to ease breathing helps maintain adequate oxygen levels, promoting respiratory function.
F: Steroid medication should be taken in the morning to mimic the body's natural cortisol production rhythm and reduce the risk of sleep disturbances.
G: Ensuring the oxygen delivery system is at least 8 feet from any heat source prevents fire hazards and maintains safe oxygen levels.
Incorrect answers:
A: Antibiotic medication should be taken as prescribed, whether with or without food depends on the specific medication.
D: Antibiotic therapy duration varies based on the type of infection; it should be completed as prescribed.
E: The oxygen cylinder wrench should be stored in a separate, easily accessible location for emergency use, not attached to the oxygen tank.
Extract:
A nurse in a provider's office is caring for a client.
Exhibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements.
Client is a nonsmoker.
Client does not drink alcohol.
Question 3 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,E,F
Rationale: The correct answer includes Vitamin D level, low activity level, and lactose intolerance. Low Vitamin D levels lead to poor calcium absorption, increasing osteoporosis risk. Inadequate physical activity reduces bone density, contributing to osteoporosis. Lactose intolerance may result in low calcium intake, impacting bone health. Phosphorous level, smoking history, and alcohol use do not directly impact osteoporosis risk.
Extract:
Question 4 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client’s BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Recheck the client's BP in her other arm for comparison. This is the best course of action to ensure accuracy of the BP reading. By rechecking the BP in the other arm, the nurse can determine if the initial reading was accurate or if there are any significant differences between the arms. This can help identify any potential issues such as arterial blockages or other underlying conditions affecting the BP.
Choice A is incorrect because the width of the BP cuff should be 40% of the upper arm circumference, not 50%.
Choice B is not necessary unless the client is showing signs of distress or discomfort, as it is important to keep the client in the same position for consistent readings.
Choice D is unnecessary unless there are specific reasons to suspect inaccurate readings or if the client's condition changes significantly.
In summary, rechecking the BP in the other arm is the most appropriate action to verify the accuracy of the initial reading and ensure the client's safety.
Question 5 of 5
A nurse is reviewing complementary therapies approved by the provider with a client who has hypertension. Which of the following supplements should the nurse discuss with the client?
Correct Answer: A
Rationale: The correct answer is A: Garlic. Garlic has been shown to potentially help lower blood pressure in individuals with hypertension due to its active compound allicin. Allicin has been suggested to relax blood vessels, leading to improved blood flow and reduced blood pressure. Peppermint oil (
B) is not typically used for hypertension. Licorice root (
C) can raise blood pressure and should be avoided. Chamomile (
D) is not known for its effect on blood pressure.