ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Identifying the impact of the mastectomy on the client’s body image is the first step, as her tearfulness and avoidance suggest emotional distress related to altered appearance. This assessment guides further interventions, such as support groups or counseling, which are secondary. Encouraging dressing changes, providing a mirror, or administering antidepressants may be premature without assessing emotional needs.
Question 2 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This is a correct statement. The higher the score, the lower the pressure injury risk, each element ranges from 1 to 4 (except friction/shear, 1 to 3), and age is not a measured element. The scale is used for all clients at risk, not only immobile ones.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
Correct Answer: A
Rationale: Discussing prior coping mechanisms is the priority, as it helps the nurse understand how the client has managed stress, guiding tailored emotional support for their terminal diagnosis. Relaxation techniques, support groups, goal-setting, or psychiatric referral are secondary.
Question 4 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Wearing a mask when outside the room is crucial for a client undergoing an allogeneic stem cell transplant due to their immunocompromised state, protecting against infections. Visitors wearing gowns is secondary, semi-private rooms are avoided to reduce infection risk, and negative-airflow rooms are used to protect others, not the patient. Daily antibiotics are not standard unless infection is present.
Question 5 of 5
A nurse is delegating client care tasks to assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is within the scope of assistive personnel, freeing the nurse for more complex tasks. Changing IV tubing, inserting an NG tube, evaluating healing, and administering medications require a licensed nurse’s expertise.