ATI RN
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ATI RN Fundamentals Exam 6 Questions
Extract:
Question
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1 of 5
A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?
Correct Answer: A
Rationale: Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare. Referring the client to a counselor can be appropriate but the primary response should be to support the client's decision. Encouraging the client not to give up may not be appropriate if the client has made a well-considered decision to refuse further treatment. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.
Question 2 of 5
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
Correct Answer: B
Rationale: Wearing cotton socks is appropriate as they allow for better air circulation. Cutting nails rounded at the corners can lead to ingrown toenails which is not recommended for individuals with diabetes. Using a mirror for daily foot inspection is a good practice to identify any issues early. Buying shoes late in the afternoon accounts for any swelling that may occur during the day which is a suitable practice for individuals with diabetes.
Question 3 of 5
A nurse is caring for a client who is unconscious. Which of the following actions is appropriate for the nurse to take when providing the client's oral care?
Correct Answer: B
Rationale: Testing for the gag reflex in an unconscious client may cause discomfort and is not necessary for oral care. Lubricating the lips with petroleum jelly helps prevent dryness and cracking maintaining comfort for the unconscious client. Placing the client in the supine position may increase the risk of aspiration during oral care. The head should be turned to the side (lateral position) to facilitate drainage. Using a firm toothbrush may cause injury to the gums and oral tissues. A soft toothbrush is more appropriate for oral care in unconscious clients.
Question 4 of 5
A nurse is caring for a client who had a cerebrovascular accident and is at risk for falls. The nurse should recognize that which of the following is an appropriate safety precaution?
Correct Answer: A
Rationale: Monitoring the client at least once every hour is an appropriate safety precaution to assess the client's condition and prevent falls. Assigning the client to a private room may not directly address the risk of falls and may not be necessary for fall prevention. Requesting a PRN prescription for restraints should not be the first line of defense for fall prevention and should only be considered when other interventions are ineffective or inappropriate. Keeping four side rails up while the client is in bed can be a restraint and may increase the risk of injury. It is not a recommended approach for fall prevention.
Question 5 of 5
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Eye exams are generally recommended more frequently especially for older adults to monitor for age-related changes and conditions. Women should have a clinical breast examination every year in addition to mammograms as recommended by their healthcare provider. Both men and women should have a colonoscopy periodically depending on individual risk factors and age. Regular hearing screenings are important for older adults especially as age-related hearing loss may occur. Testicular self-exams are recommended for men to detect any abnormalities early on.