ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Cleanse the skin around the stoma with normal saline. This is important to prevent infection and skin breakdown. Cleaning the skin helps maintain hygiene and prevents the build-up of secretions. Using normal saline is gentle and non-irritating to the skin.
A: Using a cotton tip applicator to clean inside the inner cannula can cause injury or dislodgment of the tracheostomy tube.
C: Soaking the outer cannula in warm, soapy tap water is not necessary for routine tracheostomy care and may introduce contaminants.
D: Securing the tracheostomy ties to allow one finger to fit snugly underneath is incorrect as it does not address the immediate need for skin cleansing.
Question 2 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: The correct action for the Weber's test is to place an activated tuning fork in the middle of the client's forehead. This is done to assess for lateralization of sound in cases of unilateral hearing loss. When the tuning fork is placed on the forehead, the sound is conducted through bone conduction to both ears equally. In a normal hearing individual, the sound should be heard equally in both ears. If the client has unilateral hearing loss, they will hear the sound louder in the better ear due to bone conduction. This helps to differentiate between conductive and sensorineural hearing loss. The other choices are incorrect as they do not pertain to the specific procedure of the Weber's test and do not provide the necessary information to assess for lateralization of sound.
Question 3 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Contract your pelvic muscle when performing the exercises. Kegel exercises aim to strengthen the pelvic floor muscles, which support the bladder and bowel functions. Contracting the pelvic muscles during these exercises helps to improve control over urinary incontinence. Holding your breath (
A) is not recommended as it can increase intra-abdominal pressure. Expecting improvement after 2 weeks (
C) is not accurate; it may take longer to see results. Tightening the buttocks (
D) does not target the pelvic muscles effectively.
Question 4 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.
Question 5 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: The correct answer is B: Determine whether the client can afford the insulin administration supplies. This should be the nurse's first priority because it directly impacts the client's ability to adhere to the prescribed treatment plan. If the client cannot afford the supplies, they may not be able to properly manage their diabetes, leading to serious complications. Ensuring affordability promotes client safety and adherence.
A: Making a copy of the medication reconciliation form can be done later and is not as urgent as addressing the client's financial concerns.
C: Providing the client with a contact number for a diabetes education specialist is important but addressing affordability should come first.
D: Obtaining printed information about insulin self-administration is important but not as critical as ensuring the client can afford the supplies.