ATI RN
ATI RN Fundamentals 2023 I 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 identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.
Question 2 of 5
A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
Choice B indicates difficulty accepting the transition as the client is isolating themselves from social activities due to perceived differences with other residents. This can lead to feelings of loneliness and reluctance to engage with the new community. In contrast, choices A, C, and D show the client adapting positively to the new environment by acknowledging benefits, following staff advice for safety, and finding alternative transportation solutions.
Summary:
Choice B stands out as the client's statement reflects potential social withdrawal, while the other choices demonstrate acceptance and adaptation to the changes in the assisted living setting.
Question 3 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Ask the family if they wish to assist in washing the client’s body. This should be performed first as it involves respecting the family's wishes and cultural practices. Involving the family in the care process can provide a sense of closure and comfort. Removing the client's dentures (
B) or turning the lights to a bright setting (
D) can be done after the initial respectful steps. Leaving the client's eyes open (
C) may not be appropriate as it can be unsettling for the family.
Question 4 of 5
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Ensuring the client’s bed is in the lowest position prevents falls and minimizes injury risk if the client tries to get out of bed.
B: Assessing skin temperature and color before applying restraints ensures proper circulation and skin integrity.
D: Padding bony prominences before applying restraints prevents pressure ulcers and discomfort for the client.
Summary:
C: Attaching the restraints to the bed rail can increase the risk of injury if the client moves around.
E: Allowing three fingers to slide under the restraints is incorrect as it can lead to improper fit and ineffective restraint.
Question 5 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B because using a syringe with a catheter for wound irrigation allows for controlled and directed flow of the irrigation solution into the wound, ensuring effective cleansing and minimizing contamination. This method helps prevent trauma to the wound and surrounding tissues.
A: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination.
C: Administering an analgesic medication before irrigation is not a standard practice and does not demonstrate understanding of the procedure.
D: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client.
In summary, choice B is correct as it aligns with best practices for wound irrigation, while the other choices do not demonstrate a proper understanding of the procedure.