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 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 2 of 5
A nurse +2:43 is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Pharyngeal diphtheria is primarily spread through respiratory droplets. Droplet precautions involve wearing a mask, eye protection, and gown when within 3 feet of the client. This is to prevent the transmission of pathogens through close contact. Contact precautions (choice
A) are used for diseases spread by direct contact with the client or their environment. Airborne precautions (choice
C) are for diseases transmitted through small particles that remain in the air for long periods. Protective precautions (choice
D) are not specific to any particular mode of transmission.
Question 3 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps the nurse determine the nature of the pain, which is crucial for identifying the underlying cause and choosing appropriate interventions. Sharp pain is often associated with acute conditions like muscle strains or nerve irritation, while dull pain may indicate chronic issues such as arthritis or inflammation. Asking about the quality of pain provides valuable information for treatment planning.
Choice A (constant or intermittent) focuses on pain duration, not quality.
Choice B (pain rating) assesses pain intensity, not quality.
Choice C (radiation of pain) is important but does not directly address the quality of pain.
Question 4 of 5
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client?
Correct Answer: A
Rationale: The correct answer is A: Use a bed exit alarm system. This intervention is the most appropriate as it helps alert the nurse when the client attempts to leave the bed, reducing the risk of falls and injuries. Bed exit alarms provide a non-restrictive way to monitor and ensure the safety of the client with dementia. Raising all four side rails (
B) can lead to feelings of confinement and may increase agitation. Applying a soft wrist restraint (
C) is a restrictive measure and should only be used as a last resort due to ethical and legal considerations. Dimming the lights (
D) may not directly address the risk of injury for a client with dementia.
Question 5 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A: Insert the catheter at a 45-degree angle.
Rationale: Inserting the catheter at a 45-degree angle is appropriate for older adults as their skin may be more fragile, reducing the risk of tissue damage. This angle also helps in successful IV insertion by facilitating cannulation of the vein.
Summary of other choices:
B: Placing the client's arm in a dependent position does not directly impact the IV catheter insertion process.
C: Shaving excess hair is unnecessary and may increase the risk of skin irritation and infection.
D: Initiating IV therapy in the veins of the hand is not specific to the insertion technique and does not address the angle of insertion.