ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is assessing a client whose partner is receiving hospice care and is dying. The client states, 'I should start planning the trip that we want to take.' Which of the following ego-defense mechanisms is the client expressing?
Correct Answer: B
Rationale: The correct answer is B: Denial. The client's statement about planning a trip while their partner is dying reflects denial, a defense mechanism where a person avoids facing reality by refusing to acknowledge the situation. The client may be using this defense mechanism as a way to cope with the overwhelming emotions and stress of their partner's impending death. Dissociation (choice
A) involves disconnecting from one's feelings or thoughts, which is not evident in this scenario. Regression (choice
C) involves reverting to an earlier stage of development, which is not applicable here. Displacement (choice
D) involves transferring emotions from one situation to another, which is not demonstrated in the client's statement.
Question 2 of 5
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. When the nurse compares the medication administration record against the medication container at the client's bedside before administering the medication, it ensures accuracy and safety. Checking before selecting the container helps prevent errors. Verifying while removing the medication ensures the right medication is given. Comparing during documentation may be too late. Option A is incorrect as education is separate. Options E and F are incorrect as they are not the appropriate times for comparison.
Question 3 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A. Cranial nerve VII, the facial nerve, controls facial expressions including smiling. Symmetrical smile indicates intact function. B is incorrect as tongue position is assessed by cranial nerve XII. C is related to cranial nerve XI, not VII. D involves cranial nerve II, not VII. E, F, and G are not relevant to cranial nerve VII assessment. In summary, A is correct because it directly relates to the function of cranial nerve VII, while the other choices are unrelated or pertain to different cranial nerves.
Question 4 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and make it easier for them to use the toilet safely. A raised toilet seat can help improve bathroom safety and accessibility for older adults with mobility issues.
Incorrect
Choices:
A: Using extension cords can actually increase the risk of fire hazards and electrical accidents, so this is not a safe option.
C: Covering slippery stairs with an area rug can increase the risk of tripping and falling, so this is not a recommended safety measure.
D: Securing loose wires under carpeting can cause a tripping hazard and potential electrical risks, so this is not a safe practice.
Question 5 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Keep suction equipment available in the client's room. During a seizure, a client may experience excessive secretions or vomiting, which can lead to airway obstruction. Having suction equipment readily available allows for prompt intervention to maintain a clear airway and prevent aspiration.
A: Having a padded tongue blade available is not recommended as it can cause injury during a seizure.
B: Keeping all four side rails down can restrict movement and potentially cause injury during a seizure.
D: Having wire cutters available is unnecessary and not relevant to managing a seizure.