ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Examine personal values about the issue. The nurse should first reflect on their own values and beliefs to ensure they are not influencing their judgment. This is important in maintaining objectivity and providing unbiased care.
Choice B is incorrect as it disregards the parents' autonomy and fails to address their concerns.
Choice C is incorrect as it violates the parents' right to make healthcare decisions for their child.
Choice D may be helpful but should not be the first step. Overall, respecting the parents' beliefs and engaging in open communication is key in this situation.
Question 2 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
Question 3 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The nurse should address the client's concerns about retirement by discussing how the change in job status will affect them. This response shows empathy and understanding of the client's feelings. It allows the nurse to explore the client's thoughts and feelings, providing an opportunity to address any fears or uncertainties the client may have about retirement. By engaging in a discussion about the potential impact of retirement, the nurse can help the client make an informed decision.
Summary of Incorrect
Choices:
A: This response assumes that the client's desire to retire is solely based on spending time with family, which may not be the case.
B: Suggesting a part-time job or volunteer work does not address the client's concerns about retirement and may not align with their wishes.
D: This response is dismissive of the client's feelings and does not address the underlying reasons for their hesitation towards retirement.
Overall, choice C is the most appropriate as it demonstrates active listening and allows for a meaningful conversation
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum as prescribed.
Question 4 of 5
A nurse is admitting a client to a healthcare facility. The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Wearing an N95 mask helps prevent the spread of airborne infections.
B: Placing a container for soiled linens inside the room prevents contamination of other areas.
C: Placing the client in a negative airflow room helps contain airborne pathogens.
E: Wearing a sterile water-resistant gown within 3 feet of the client prevents contact transmission.
Incorrect
Choices:
D: Removing the mask after exiting the room increases the risk of spreading infection.
F & G: No additional choices provided, so not applicable.
Extract:
Vital signs:Temperature 36.2° C (97.2° F) Pulse rate 116/min Respiratory rate 24/min BP 102/68 mm Hg Oxygen saturation 95% Weight 52.2 kg (115 Ib
Question 5 of 5
A nurse in a provider's clinic is caring for a client who has diarrhea. The nurse is providing teaching for the client. Select the 4 instructions the nurse should include in the teaching.
Correct Answer: B, C, F, G
Rationale: The correct instructions are B, C, F, and G. Probiotic foods like yogurt can help restore gut flora. Avoiding alcohol and caffeine is important as they can worsen diarrhea. Drinking lots of fluids is crucial to prevent dehydration. High-calcium foods (
A) are not directly related to managing diarrhea. Eating raw vegetables (
D) may be hard to digest. Eating three large meals a day (E) may be too heavy on the digestive system.