ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys, leading to blood in the urine. This is due to damage to the glomerular capillaries allowing red blood cells to leak into the urine. Oliguria (
A) is not a common finding as there is usually normal to increased urine output. Hypotension (
B) is not typically seen as glomerulonephritis can lead to fluid overload and hypertension. Weight loss (
C) is unlikely as fluid retention is common. Hematuria (
D) is the hallmark finding due to the damage to glomeruli.
Question 2 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reassure the client that this is an expected response to grief. This is the correct action as it validates the client's feelings and provides reassurance that anger is a common emotion when dealing with a cancer diagnosis. By acknowledging the client's emotions, the nurse can build trust and support the client through the grieving process.
A: Discussing risk factors is not the priority when the client is expressing anger.
B: Focusing on future management may be overwhelming for the client at this stage.
C: Providing written information about loss and grief phases may not address the client's current emotional state.
In summary, option D is the best choice as it acknowledges the client's feelings and offers support during a difficult time.
Question 3 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client for injuries. This should be the first action taken because the nurse needs to assess the client's immediate physical condition to determine if there are any life-threatening injuries that require immediate attention. Moving hazardous objects (
B) can wait until after ensuring the client's safety. Notifying the provider (
C) can also be done after assessing the client's condition. Asking the client about how she felt prior to the fall (
D) is important but not as urgent as checking for injuries.
Question 4 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority because understanding the client's concerns or barriers to using the spirometer allows the nurse to address them effectively, promote the client's recovery, and prevent complications such as pneumonia. Requesting a respiratory therapist (
A) can be helpful, but understanding the client's reasons comes first. Documenting refusal (
C) is important but does not address the immediate need to assess and intervene. Administering pain medication (
D) may provide temporary relief but does not address the root cause of refusal.
Question 5 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important to prevent infection and promote healing. First, wash hands thoroughly to maintain cleanliness. Second, gather necessary supplies such as clean gloves, sterile gauze, and saline solution. Third, remove the old dressing carefully and inspect the stoma for any signs of infection or irritation. Fourth, clean around the stoma with saline solution and gently pat dry. Finally, apply a new, sterile dressing using clean technique to maintain a clean and dry environment.
Choice A is incorrect because operating a suction machine is typically done by healthcare professionals.
Choice B is incorrect as securing the tracheostomy tube is usually done by healthcare providers to ensure proper placement.
Choice C is incorrect as changing the tracheostomy tube daily is not a standard practice unless specifically indicated by a healthcare provider.