ATI RN
ATI RN Comprehensive Predictor 2023 Updated Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Do you need information on hospice care?" This is the best response because hospice care provides holistic support for terminally ill patients, including emotional and psychological support for depression. Antianxiety medication (
A) may not address the client's emotional needs. Talking to a counselor about advance directives (
C) is important but may not directly address the client's current emotional distress. Speaking to a spiritual advisor (
D) is valuable for some clients but may not be the most immediate need for addressing depression in this case.
Question 2 of 5
A nurse is performing postmortem care for a recently deceased client prior to the client's family visit. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Hold the client's eyes shut for a few seconds. This action is important to maintain a natural appearance and prevent the eyes from remaining partially open, which can be distressing for the family. It allows for a peaceful and respectful presentation during the family visit.
A: Crossing the client's arms is not necessary for postmortem care and may not be culturally appropriate for all families.
B: Removing dentures is not typically part of postmortem care unless specifically requested by the family.
C: Placing the client in a high-Fowler's position is not recommended postmortem as it may not appear natural and can be uncomfortable for the deceased.
In summary, holding the client's eyes shut is the correct action to ensure a dignified presentation, while the other options are either unnecessary or inappropriate for postmortem care.
Question 3 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B - Speak directly to the client.
Rationale: Speaking directly to the client ensures clear communication and maintains the client's engagement. By speaking to the client, the nurse acknowledges their importance and respects their autonomy. This approach also helps establish trust and rapport with the client, fostering a therapeutic relationship. When speaking to the interpreter, the nurse should maintain eye contact with the client to show attentiveness. This direct communication approach enhances understanding and ensures that the client receives accurate information about home care for the surgical incision.
Summary:
A: Speaking slowly to the interpreter may cause the client to feel excluded and may lead to miscommunication.
C: Pausing in the middle of sentences can disrupt the flow of communication and hinder understanding.
D: Using gestures alone may not effectively convey complex information and can lead to misunderstandings.
Question 4 of 5
A nurse is teaching a client who has rheumatoid arthritis about illness management. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Take a hot shower in the morning to decrease stiffness. Heat therapy helps relax muscles, improve blood flow, and reduce stiffness in rheumatoid arthritis. Hot showers in the morning can help alleviate morning joint stiffness.
Choice B is incorrect because biological response modifiers are used to treat rheumatoid arthritis, not prevent infection.
Choice C is incorrect as cold packs are not typically recommended for rheumatoid arthritis, as they can worsen stiffness.
Choice D is incorrect as spreading physical activities throughout the day is more beneficial than clustering them.
Question 5 of 5
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?
Correct Answer: A
Rationale: The correct answer is A because suctioning a client's tracheostomy for 15 seconds is too long and can lead to hypoxia. The optimal suctioning time for a tracheostomy is usually 5-10 seconds to prevent hypoxia. Encouraging the client to cough during suctioning (choice
B) helps to remove secretions effectively. Waiting for 2 minutes between suctions (choice
C) allows the client to recover and prevents damage to the airway. Inserting the catheter without applying suction (choice
D) indicates the nurse is not effectively clearing secretions.