ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. An occupational therapist specializes in helping individuals regain the ability to perform daily activities, such as eating, after injuries like traumatic brain injury. They focus on improving fine motor skills, coordination, and adaptive techniques for using utensils. Physical therapists focus more on mobility and strength training, making them less suitable for this specific task. Speech-language pathologists address communication and swallowing issues, not utensil use. Social workers primarily provide support with emotional and social aspects, not the physical rehabilitation needed here.
Question 2 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should see the client with a new onset of dyspnea after a total hip arthroplasty first because it could indicate a pulmonary embolism, a potentially life-threatening complication post-surgery. Dyspnea can be a sign of inadequate oxygenation, which needs immediate assessment and intervention to prevent serious complications. Option B, a urinary tract infection with low-grade fever, can be managed with appropriate antibiotics and does not require immediate attention. Option C, acute abdominal pain of 4 on a scale of 0 to 10, may require evaluation but does not pose an immediate life-threatening risk. Option D, pneumonia with an oxygen saturation of 96%, indicates adequate oxygenation and can be monitored closely without immediate intervention.
Question 3 of 5
A nurse is caring for a client who has tuberculosis. The nurse should anticipate which isolation precautions for the client?
Correct Answer: A
Rationale: The correct answer is A: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. Airborne precautions include wearing an N95 respirator mask, placing the client in a negative pressure room, and ensuring proper ventilation. Contact precautions (
C) are for diseases spread by direct contact, not airborne transmission like tuberculosis. Droplet precautions (
D) are for diseases spread through large droplets, not small droplet nuclei. Protective precautions (
B) are not specific to tuberculosis.
Question 4 of 5
A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The correct order for assessing a client's abdomen is A, B, C, D, E. First, observing the abdomen with a penlight helps assess skin condition, scars, and distension. Second, using a stethoscope to listen for bowel sounds provides information on gastrointestinal motility. Third, systematically percussing the abdomen helps identify areas of dullness or tympany. Fourth, lightly depressing the right lower quadrant helps assess for tenderness or pain. Lastly, pressing deeply into the upper left abdomen detects aortic pulsation, which is crucial for identifying potential abnormalities. This sequence ensures a comprehensive and systematic assessment. Other choices are incorrect as they do not follow a logical progression of assessment steps.
Question 5 of 5
A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Collect the sputum specimen in the morning. This is because sputum is usually more concentrated and easier to collect in the morning due to the buildup overnight. Using sterile gloves (
Choice
A) is not necessary for sputum collection unless the patient has a compromised immune system. Obtaining the specimen after mouthwash (
Choice
B) can alter the normal flora in the mouth. Placing the specimen in a clean container (
Choice
D) is not sufficient, as it should be placed in a sterile container for accurate results.