ATI RN
ATI RN Fundamentals 2023 II 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 is because a speech-language pathologist specializes in diagnosing and treating swallowing difficulties (dysphagia) that often occur after a stroke. They can assess the client's swallowing function, provide strategies to improve swallowing safety, and recommend appropriate diet modifications. The other options (B: Occupational therapist, C: Physical therapist, D: Social worker) do not specifically address the client's swallowing issue and are not the primary professionals for managing dysphagia in stroke patients.
Question 2 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: The correct answer is C: Gloves. The nurse should remove gloves first because they are the most likely to be contaminated. Removing gloves first prevents cross-contamination when touching other parts of the PPE. Removing the gown next helps prevent contamination of the nurse's clothing. Eyewear and mask should be removed last as they provide protection to the nurse's mucous membranes. Removing the mask last ensures protection of the nurse's respiratory system.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: B
Rationale: The correct answer is B: Metabolic syndrome. Metabolic syndrome includes risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, all of which increase the risk of cardiovascular disease. Competitive sports (
A) generally reduce the risk of heart disease by promoting physical fitness. Family history of alcohol use disorder (
C) is not directly linked to cardiovascular disease risk. Hypotension (
D) is low blood pressure and is not a risk factor for cardiovascular disease.
Question 4 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I will repeat these movements 3 to 5 times." This is the best choice because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Moving joints quickly (
A) may cause injury. Performing the exercises only once per day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
C) can lead to discomfort and potential harm.
Therefore, option D is the most appropriate for promoting joint mobility and preventing complications.
Question 5 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Assist the client with a bowel cleansing. Prior to an intravenous pyelogram, it is important to ensure the client has a clear bowel to improve visualization of the urinary tract. This is typically achieved through bowel cleansing to prevent any fecal material from obstructing the view of the kidneys and bladder during the procedure.
Incorrect choices:
A: Ensuring the client is free of metal objects is important for MRI scans, not intravenous pyelograms.
B: Monitoring for pain in the suprapubic region is not a standard preparation for an intravenous pyelogram.
D: Administering oral contrast is not typically required for an intravenous pyelogram, as the contrast material is injected intravenously for this procedure.