ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 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 reflect on their own values and beliefs to ensure they can provide nonjudgmental care. It is important to respect the parents' decision based on their religious beliefs.
Choice B is incorrect as it disregards the parents' autonomy.
Choice C is incorrect as consent is required for medical procedures.
Choice D is incorrect as it may not be respectful of the parents' beliefs. The nurse should prioritize understanding and respecting the parents' decision while ensuring the child's well-being.
Question 2 of 5
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior prior to being placed in seclusion. This is important for maintaining accurate and detailed records of the client's behavior leading up to seclusion, which can help in evaluating the appropriateness of the intervention and in providing important information for the client's treatment plan. Assessing the client's behavior once every hour is important but not the most appropriate immediate action. Offering fluids every 2 hours is not directly related to the client's need for seclusion. Discussing with the client his inappropriate behavior prior to seclusion may not be appropriate or safe in the context of needing seclusion to prevent harm.
Question 3 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. The nurse should anticipate the provider to prescribe these interventions because they are commonly recommended for clients with conditions such as obesity and hypertension. Limiting alcohol intake to 0 oz per day can help improve overall health and prevent worsening of conditions. Keeping daily fat intake to less than 35% is beneficial for managing weight and cardiovascular health. Administering an antihypertensive medication is crucial for controlling blood pressure in hypertensive clients.
Choices C and E are incorrect as prescribing anti-obesity medications is not always the first-line treatment and limiting foods high in potassium may not be necessary unless the client has specific medical conditions.
Question 4 of 5
While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion (CPM) device. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action is to choose option C: Remove the device from the room. This is the first step to ensure the safety of the client and prevent any potential hazards associated with the fraying electrical cord. By removing the device from the room, the nurse eliminates the immediate risk of electrical malfunction or injury to the client. Initiating a requisition for a replacement device (option
A) can be done after ensuring the client's safety. Reporting the defect to equipment maintenance staff (option
B) is important but not as urgent as removing the device. Ensuring the device inspection sticker is current (option
D) is not the priority when a safety issue is identified.
Question 5 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I know that I can change my advance directives if needed in the future." This statement indicates an understanding of advance directives, which are legal documents that allow individuals to specify their healthcare preferences. Being able to change the directives reflects the client's awareness of the flexibility and control they have over their healthcare decisions.
Explanation for why other choices are incorrect:
B: "My healthcare proxy will make decisions as soon as I sign the power of attorney." This is incorrect because a healthcare proxy only makes decisions when the individual is unable to do so themselves.
C: "My family can overrule the decisions made by my healthcare proxy." This is incorrect because the healthcare proxy's decisions should be respected and followed.
D: "Advance directives from one state are valid in any other state." This is incorrect as advance directives must comply with the laws of the state they are in.