ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A non-coring needle. This type of needle is specifically designed for accessing implanted venous access ports as it minimizes the risk of damaging the septum or causing coring. Coring can lead to complications such as infection or damage to the port.
- A: An angiocatheter is not typically used for accessing implanted venous access ports as it may not be the most appropriate size or design for this purpose.
- B: A 25-gauge needle may not be suitable for accessing the port as it may not be designed to prevent coring.
- C: A butterfly needle is not the recommended choice for accessing an implanted venous access port as it may not have the same design features as a non-coring needle.
Question 2 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field for wound irrigation, the nurse should remove the cap of the sterile solution bottle and place it sterile-side up on a clean surface. This is crucial to maintain the sterility of the solution. Placing the cap sterile-side up prevents contamination from the surface.
Choices B and C are incorrect as they do not address the proper handling of the solution bottle.
Choice D is incorrect as holding the bottle with the label facing away from the palm does not ensure the sterility of the solution. It is essential to follow proper aseptic technique to prevent infection and promote healing.
Question 3 of 5
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because advance directives do not require legal representation to be valid. Advance directives are legal documents that allow individuals to specify their medical treatment preferences in advance. They can be signed by the individual without the need for a lawyer. Option A is incorrect because medical care can still be provided even without advance directives. Option C is incorrect as advance directives must be written and signed documents. Option D is incorrect because social workers typically assist with other aspects of care, not legal representation.
Question 4 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: "You don't have to go through with the treatment." This response respects the client's right to change their mind even after giving initial consent. It upholds the principle of autonomy and informed decision-making in healthcare.
Choices A and B do not acknowledge the client's right to withdraw consent and could potentially pressure the client.
Choice C, while empathetic, does not address the client's statement directly. Summarily, choices A, B, and C do not prioritize the client's autonomy and respect for their decision-making.
Question 5 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with a hip fracture and new onset of tachypnea first because tachypnea could indicate a potentially life-threatening condition such as a pulmonary embolism or hypoxia. Assessing this client first ensures prompt detection and intervention for any respiratory compromise. Clients with epidural analgesia and weakness in lower extremities (
A) may need assessment for neurovascular compromise but are not in immediate danger. Clients with sinus arrhythmia (
C) on cardiac monitoring and diabetes mellitus with HbA1C of 6.8% (
D) require monitoring and management but do not present an immediate threat to their health.