ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a dysrhythmia. Which of the following techniques is appropriate for the nurse to use to assess for a pulse deficit?
Correct Answer: A
Rationale: The correct answer is A: Obtain apical and radial rates simultaneously. This technique is appropriate for assessing a pulse deficit because it allows the nurse to compare the heart rate (apical) with the peripheral pulse rate (radial) at the same time. Discrepancies between the two rates indicate a pulse deficit, which can be indicative of certain dysrhythmias. Palpating pulses in the lower extremities (
B) does not assess for a pulse deficit specifically. Checking blood pressure in left and right arms (
C) is not relevant to assessing a pulse deficit. Comparing pulse strength in upper extremities (
D) does not specifically address the detection of a pulse deficit.
Question 2 of 5
A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Correct Answer: D
Rationale: The correct answer is D: Elevating the finger above heart level. This action is incorrect because it can impede blood flow to the finger, making it difficult to obtain an adequate blood sample.
To obtain a capillary finger stick blood sample, the finger should be held in a dependent position to promote blood flow. Wrapping the finger in a warm cloth (
A) helps dilate blood vessels for easier blood collection. Rubbing the fingertip with an alcohol pad (
B) cleans the area to prevent infection. Puncturing the side of the fingertip (
C) is the correct technique for obtaining a capillary blood sample.
Question 3 of 5
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct answers are B, C, D, and E. For older adults, breast examination yearly can detect breast cancer early. Colonoscopy every 10 years can help detect colon cancer. Regular hearing screenings can prevent hearing loss. Testicular self-exam can detect testicular cancer early.
Choice A is incorrect as eye exams should be more frequent for older adults.
Choices F and G are not provided.
Question 4 of 5
A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?
Correct Answer: C
Rationale: The correct answer is C: Place dry sterile supplies 1/2 inch from the edge of the sterile field. Placing supplies 1/2 inch from the edge helps maintain the sterility of the field by preventing contamination. Opening the first flap toward oneself (choice
A) risks contaminating the sterile field. Having the sterile field below waist level (choice
B) increases the risk of contamination from surrounding surfaces. Applying sterile gloves after preparing the sterile field (choice
D) should be done before touching any sterile items.
Question 5 of 5
A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?
Correct Answer: A
Rationale: The correct answer is A. When a client has right-sided weakness, the cane should be held on the unaffected side to provide support and stability. Holding the cane on the affected side can lead to imbalance and increased risk of falls. This incorrect technique can jeopardize the client's safety and hinder the effectiveness of using the cane for support.
Choices B, C, and D are all appropriate techniques for using a cane and do not indicate a need for further teaching. B: Keeping two points of support on the ground ensures stability. C: Advancing the cane before moving the unaffected leg helps with balance and support. D: Supporting weight on both legs when moving the cane forward is a proper weight distribution technique.