Questions 48

ATI RN

ATI RN Test Bank

ATI RN Fundamentals 2019 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: C

Rationale: Identifying the impact on body image addresses the client’s emotional response first establishing trust and guiding further interventions. Encouraging dressing changes providing a mirror or referring to a support group are secondary steps.

Question 2 of 5

A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority?

Correct Answer: B

Rationale: A change in a mole’s appearance may indicate skin cancer a potentially life-threatening condition requiring urgent evaluation. Skin tags discolored areas or atrophic fingers are less immediately concerning.

Question 3 of 5

A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion

Correct Answer: 440

Rationale: Net fluid intake is calculated as total intake (600 mL + 100 mL = 700 mL) minus total output (20047 mL + 40 mL + 20 mL = 260 mL) resulting in 440 mL.

Question 4 of 5

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

Correct Answer: B

Rationale: A client's belief that their needs will be met through education directly enhances motivation by linking learning to personal benefits such as improved health outcomes. Family approval explanations or empathy support learning but are less directly tied to intrinsic motivation.

Question 5 of 5

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)

Correct Answer: B,C,D,E

Rationale: Supplemental oxygen suction equipment an oral airway and a glucose monitor address potential seizure complications (hypoxia airway obstruction hypoglycemia). Limb restraints are not routine unless specifically ordered.

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