ATI RN
ATI RN Fundamentals 2023 I 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: D
Rationale: The correct answer is D: I will contact your provider to discuss your options. This response is appropriate because it demonstrates respect for the client's wishes while also ensuring that the client receives the necessary information to make informed decisions about their care. By contacting the provider, the nurse can facilitate a discussion about the available treatment options, potential benefits, risks, and expected outcomes. This empowers the client to make choices that align with their values and goals.
A: Enjoy the time you have and do the things you want to do - This response may come off as dismissive of the client's desire for treatment and does not address the need for a discussion with the healthcare provider.
B: Hospice care is the best thing for you at this time - While hospice care may be appropriate for some clients with terminal illnesses, it should not be assumed without a thorough discussion with the client and their healthcare provider.
C: You need to understand that you have very little time left - This response is blunt and
Question 2 of 5
A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Cut the old ties after the new ties are secured. This is the correct action as it ensures the client's airway remains stable during the tie change process. By securing the new ties first before cutting the old ones, the nurse prevents accidental decannulation, maintaining the client's airway patency.
Choice A is incorrect because extending the client's neck may cause discomfort and is unnecessary for securing the ties.
Choice B is incorrect as quick-release knots are not recommended for tracheostomy ties due to the risk of accidental untying.
Choice C is incorrect as allowing space for three fingers under the ties does not ensure proper securement.
In summary, cutting the old ties after securing the new ties is crucial for maintaining the client's airway safety during a tracheostomy tie change.
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 assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Placing the client in high-Fowler's position helps improve oxygenation by maximizing lung expansion.
C: Administering oxygen is essential to improve oxygen levels and support respiratory function.
E: Stopping the transfusion is crucial as the client is showing signs of fluid overload, indicated by crackles and distended neck veins.
Summary of Incorrect
Choices:
B: Administering epinephrine is not indicated as the client's symptoms are related to fluid overload, not anaphylactic reaction.
D: Administering a diuretic is not the immediate priority as it won't address the acute respiratory distress caused by fluid overload.
Question 5 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will walk three times per week." Weight-bearing exercises like walking help improve bone density and reduce the risk of osteoporosis. Walking stimulates the bones to retain calcium, making them stronger.
Choice B is incorrect because sunlight exposure is needed for vitamin D synthesis, important for calcium absorption.
Choice C is incorrect as dairy products provide essential calcium for bone health.
Choice D is incorrect because the recommended daily calcium intake is around 1000-1200 mg for older adults.