ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a terminal illness, and the client's partner indicates effective coping. The nurse should recognize that which of the following statements is an indication of effective coping?
Correct Answer: B
Rationale: The correct answer is B: "I am relying on support from our family during this time." This statement indicates effective coping as it shows the client is utilizing the support system available, which is a healthy way to manage stress and emotions during a difficult time. It demonstrates the client's willingness to seek help and share the burden with loved ones.
Explanation for why other choices are incorrect:
A: "I am not worried because I will have hope that he will be okay." This statement shows denial rather than effective coping.
C: "We can plan our family reunion once he recovers and comes home." This statement indicates avoidance of the reality of the situation.
D: "We don't see any reason to start discussing funeral arrangements right now." This statement shows avoidance of discussing important end-of-life matters.
Question 2 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to help relieve pain. However, in the case of herpes zoster, also known as shingles, which is a viral infection affecting the nerves and causing a painful rash, there is a risk of spreading the virus through the insertion of needles. This could potentially worsen the condition and lead to complications.
Therefore, acupuncture is contraindicated for clients with herpes zoster.
A: Biofeedback, B: Aloe, and C: Reflexology are generally considered safe complementary therapies for pain control and do not pose a risk of spreading the virus in the case of herpes zoster. Biofeedback helps individuals learn to control physiological processes, aloe has soothing properties, and reflexology involves applying pressure to specific points on the feet or hands to promote relaxation and pain relief.
Question 3 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 4 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 5 of 5
A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Use sterile technique when performing tracheostomy care at home. This is vital to prevent infections and complications. Sterile technique involves maintaining cleanliness and minimizing the risk of introducing pathogens.
Choices A, B, and D are incorrect. A: Removing the outer cannula carelessly can cause injury or displacement. B: Using tracheostomy covers outdoors is important for filtration but not the primary aspect of care. D: Cleaning mist with hydrogen peroxide can be harmful to the skin and mucous membranes.