ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
Correct Answer: A
Rationale: The correct answer is A: Latex. Latex allergies are crucial to address prior to IV therapy as latex is commonly found in medical equipment like gloves and IV tubing. An allergic reaction to latex can be severe and life-threatening. Seafood, bee stings, and peanuts are not typically related to IV therapy and would not directly impact the administration of the therapy. The focus should be on latex allergy due to its direct relevance to medical equipment used during IV therapy.
Question 2 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client for injuries. This should be the first action taken by the nurse as it is crucial to assess the client's immediate physical condition for any potential harm. Checking for injuries is a priority to ensure the client's safety and well-being. Moving hazardous objects (
B) should only be done after ensuring the client is not in immediate danger. Notifying the provider (
C) can be done after assessing the client's injuries. Asking the client to describe how she felt prior to the fall (
D) is important but should come after ensuring there are no immediate injuries that need attention.
Question 3 of 5
A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client who was just given a glass of orange juice for a low blood glucose level first because hypoglycemia can lead to serious complications such as seizures or loss of consciousness. Assessing this client first allows the nurse to monitor for signs of worsening hypoglycemia and take prompt action if needed.
Choice A is incorrect because a client scheduled for a procedure in 1 hr can be assessed after ensuring the immediate safety of the client with low blood glucose.
Choice B is incorrect since a client who received pain medication 30 min ago for postoperative pain doesn't indicate an immediate life-threatening situation.
Choice D is incorrect as a client with 100 mL of fluid remaining in the IV bag can be monitored but doesn't require immediate attention compared to a client with low blood glucose levels.
Question 4 of 5
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Provide humidification of the room air. Xerostomia, or dry mouth, is a common side effect of radiation therapy. Humidifying the room air can help alleviate dryness by increasing moisture. Option A is incorrect because alcohol-based mouthwash can further dry out the mouth. Option C is incorrect as saltine crackers can exacerbate dryness. Option D is unrelated as it pertains to speech, not xerostomia.
Question 5 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: D
Rationale: The correct answer is D: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Individuals who have demonstrated violent behavior in the past are more likely to engage in violent behavior again.
Choice A, being in prison, does not necessarily indicate future violence.
Choice B, experiencing delusions, may increase the risk but is not as strong a predictor as past violent behavior.
Choice C, male gender, is a generalization and does not account for individual differences.