ATI RN
ATI RN Fundamentals 2023 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: A
Rationale: The correct answer is A: The client coughs frequently while eating. This is the priority finding as it indicates a risk of aspiration, which can lead to serious complications like pneumonia. The nurse should address this immediately to ensure the client's safety.
Choice B is not as urgent as the client's blood pressure is slightly elevated but not critically high.
Choice C, the client consuming 25% of meals, is concerning but not as immediately life-threatening as aspiration.
Choice D, the client leaning to the left side while sitting, may be related to the left-sided weakness but does not pose an immediate risk to the client's health.
Question 2 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: D
Rationale: The correct answer is D: Check the blood product's compatibility with the client's blood type. This step is crucial to prevent a transfusion reaction, as administering incompatible blood can be life-threatening. The nurse should verify the blood product against the client's blood type and Rh factor to ensure compatibility.
A: Priming the IV tubing with lactated Ringer's is not necessary before administering packed RBCs and does not ensure the blood product's compatibility.
B: Confirming the client's identity with the blood bank technician is important but does not directly relate to ensuring the blood product's compatibility.
C: Checking for a small gauge IV catheter is important for infusion, but it is not directly related to ensuring the blood product's compatibility.
Overall, the priority before administering packed RBCs is to confirm compatibility with the client's blood type to prevent adverse reactions.
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: A
Rationale: The correct answer is A because using a straw with thickened juice can increase the risk of aspiration for a client with dysphagia. Straws can bypass the natural swallowing process, leading to potential choking or aspiration. Option B is correct as it promotes proper positioning for swallowing. Option C is incorrect as taking breaks during meals is common for clients with dysphagia to prevent fatigue. Option D is also correct as tucking the chin helps to protect the airway during swallowing.
Question 4 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In an emergency situation where the client is unconscious and no one is available to give consent, the nurse must act in the best interest of the client. This includes providing necessary and life-saving treatment without delay. Delaying surgery to wait for consent may jeopardize the client's health and violate the principle of beneficence. Contacting the ethics committee (
B) may cause further delay, and keeping the client stable until a family member arrives (
C) may not be feasible in urgent cases. Obtaining consent from the surgeon (
D) is not ethically appropriate as the surgeon cannot provide consent on behalf of the client.
Question 5 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: C
Rationale: The correct answer is C: "It's nice having other people cook for me." This statement indicates that the client has adapted to their new situational role because they are acknowledging and appreciating the help and support provided by their adult child in terms of meal preparation. This shows acceptance of their changed circumstances and a willingness to rely on others for assistance, which is a positive sign of adaptation.
Other choices are incorrect:
A: "I'm looking forward to being able to be independent again." This statement indicates a desire for independence, not necessarily adaptation to the new situation.
B: "I've never been the kind of person to ask others for help." This statement suggests resistance to seeking help, which is not indicative of adaptation.
D: "I really don't know what I'm supposed to do all day." This statement indicates confusion and uncertainty, showing a lack of adjustment to the new living arrangement.