ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a terminal illness. The client states, 'I am not giving up. I want as much treatment as possible.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I will contact your provider to discuss your options." This response demonstrates the nurse's commitment to advocating for the client's wishes while ensuring appropriate communication with the healthcare provider to explore available treatment options. It respects the client's autonomy and decision-making process.
Incorrect
Choices:
A: Hospice care may not align with the client's current wishes for aggressive treatment.
B: While important, this response does not address the client's desire for treatment options.
D: This response may not be in line with the client's current mindset and can be seen as dismissive.
Overall, choice C is the most appropriate as it acknowledges the client's wishes and facilitates informed decision-making.
Question 2 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: Pudding. Progressing from a clear liquid to full liquid diet involves introducing foods that are easy to digest and gentle on the stomach. Pudding is a suitable choice as it is smooth, easily swallowed, and does not contain any solid pieces that could cause discomfort. Cooked vegetables (choice
A) may be too rough and fibrous for someone transitioning to a full liquid diet. Bananas (choice
B) are soft but may be too solid for a full liquid diet. Yogurt with fruit (choice
D) contains solid pieces that may not be appropriate for this stage.
Question 3 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Offer to play music in the client's room. Music therapy has been shown to be an effective nonpharmacological intervention for managing pain. Music can help distract the client from pain, promote relaxation, and reduce anxiety. It can also improve the client's mood and overall well-being. Loosening bed linens (
A) may provide comfort but does not directly address pain management. Massaging the sacrum (
B) can potentially worsen the pressure injury. Bright lights (
C) may increase discomfort for a client in pain.
Therefore, offering music therapy is the most appropriate intervention in this scenario.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Hold bottles of sterile solution with the label in the palm of the hand. This is correct because it ensures that the nurse maintains sterile technique by preventing contamination of the solution. Holding the bottles with the label in the palm of the hand prevents touching the outside of the bottle, which could introduce contaminants.
Choice B is incorrect because pouring liquids into containers outside the sterile field risks contamination.
Choice C is incorrect as the sterile field should be at the level of the nurse's chest to prevent inadvertent contamination.
Choice D is incorrect because opening the outermost flap of the sterile kit toward the body risks contaminating the contents.
Question 5 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This finding is expected during an eye assessment as it indicates normal eyelash orientation. The eyelashes help protect the eyes from foreign objects.
Choices B, C, and D are incorrect. B is incorrect as the normal blink rate is 15 to 20 times per minute, not 30 to 35. C is incorrect because normal pupil size is 2 to 4 mm in diameter, not 8 to 9 mm. D is incorrect as corneas should be clear, not opaque.