ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This professional specializes in evaluating and treating swallowing difficulties, known as dysphagia, which is common after a stroke. The speech-language pathologist can assess the client's swallowing function, provide strategies to improve safety during meals, and recommend appropriate diet modifications. The other choices, such as social worker, physical therapist, and occupational therapist, do not have the specific expertise in managing swallowing disorders like a speech-language pathologist does in this scenario.
Question 2 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure are at risk for falls due to potential nocturia (frequent need to urinate at night) caused by the diuretic effect of hydrochlorothiazide. Leaving a light on in the bathroom at night can help prevent falls.
Choice A is incorrect because weighing once weekly does not address the immediate safety concern related to falls.
Choice B is unrelated to safety considerations.
Choice D is incorrect as taking a hot bath before bed can potentially increase the risk of falls due to dizziness.
Question 3 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:
Correct Answer: B
Rationale: The client's belief that his needs will be met through education is the most likely factor to increase motivation. When the client perceives that the education will help address his needs, he will be more motivated to learn and engage in the self-administration process. This belief reinforces the client's understanding of the benefits of learning and empowers him to take control of his health.
Summary of other choices:
A: While the nurse explaining the need for education is important, it may not necessarily increase the client's motivation as much as the client's belief in meeting his needs through education.
C: The nurse's empathy is crucial for building rapport and trust, but it may not directly impact the client's motivation to learn.
D: Seeking family approval can influence behavior, but it may not be the most significant factor in increasing motivation compared to the client's belief in meeting his needs through education.
Question 4 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps determine if there is a conductive or sensorineural hearing loss. Placing the tuning fork on the forehead allows the sound to be conducted through bone to both cochleae simultaneously. If the client hears the sound equally in both ears, it suggests normal hearing or symmetrical hearing loss. If the client hears the sound louder in one ear, it indicates conductive hearing loss in that ear.
Choice A is incorrect because random high-pitched sounds do not specifically test for conductive vs. sensorineural hearing loss.
Choice C is incorrect because the tuning fork should be placed on the forehead, not the mastoid process, for the Weber's test.
Choice D is incorrect as whispering words does not test for conductive vs. sensorineural hearing loss.
Question 5 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will walk three times per week." Walking is weight-bearing exercise, which helps build bone density and reduce the risk of osteoporosis. Weight-bearing exercises stimulate bone growth and strengthen bones. This statement indicates that the client understands the importance of physical activity in maintaining bone health.
Incorrect
Choices:
A: Avoiding exposure to the sun is not recommended as sunlight exposure helps the body produce Vitamin D, essential for calcium absorption.
B: Decreasing intake of dairy products can lead to a lack of calcium, which is crucial for bone health.
D: Taking only 250 milligrams of calcium once per day is insufficient for most older adults who require higher doses to maintain bone health.