ATI RN Fundamentals Updated 2023 Exam

Extract:

Question 1 of 5

A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?

A. Let's wait until after the surgery to discuss your concerns about your colostomy.B. You are worried about having to wear a colostomy bag?C. Have you ever known someone who has a colostomy?D. The surgeon will only place the colostomy if it is necessary.

Correct Answer: B

Rationale: Restating the concern (
B) validates the client’s feelings and encourages further discussion, using therapeutic communication. Waiting until after surgery (
A) dismisses the concern. Asking about others (
C) diverts focus. Reassuring about necessity (
D) minimizes the client’s worry.

Question 2 of 5

A nurse is caring for a client who is postoperative and asks the nurse, 'When will I get to go home? I'm not sure what happens next.' Which of the following actions should the nurse take?

A. Assure the client that the provider will come to talk to him when she gets the chance.B. Explain that the client should trust the provider because she has an excellent reputation.C. Inform the provider that the client is requesting information about his treatment plan.D. Tell the client that the provider will discharge him when she feels he is ready to leave.

Correct Answer: C

Rationale: Informing the provider (
C) ensures the client’s questions are addressed, promoting communication and autonomy. Assuring a provider visit (
A) may dismiss concerns if delayed. Trusting the provider’s reputation (
B) avoids addressing the client’s needs. Stating discharge depends on the provider (
D) disempowers the client; explaining criteria is better.

Question 3 of 5

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

A. The client's belief that his needs will be met through educationB. The nurse explaining the need for education to the clientC. The client seeking family approval by agreeing to a teaching planD. The nurse's empathy about the client having to self-inject

Correct Answer: A

Rationale: The client’s belief that education meets his needs (
A) fosters intrinsic motivation, enhancing learning engagement. Explaining the need (
B) informs but doesn’t drive motivation. Seeking family approval (
C) is external motivation, less effective. Empathy (
D) supports emotionally but doesn’t directly increase learning motivation.

Question 4 of 5

A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?

A. Deliver a series of high-pitched sounds at random intervals.B. Hold an activated tuning fork against the client's mastoid process.C. Place an activated tuning fork in the middle of the client's forehead.D. Whisper a series of words softly into one ear.

Correct Answer: C

Rationale: Placing an activated tuning fork on the forehead (
C) is the correct Weber’s test action, assessing sound lateralization. High-pitched sounds (
A) are for other tests, like Rinne. The mastoid process (
B) is used in the Rinne test. Whispering words (
D) is for the whisper test, not Weber’s.

Question 5 of 5

A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?

A. DropletB. AirborneC. ProtectiveD. Contact

Correct Answer: B

Rationale: Airborne precautions (
B) are required for tuberculosis, which spreads via small respiratory particles that remain suspended in the air. Droplet precautions (
A) apply to infections like influenza, spread by larger droplets. Protective precautions (
C) are for immunocompromised clients, not TB. Contact precautions (
D) are for infections like MRSA, not airborne diseases.

ATI RN Fundamentals Updated 2023 Exam | Nurselytic

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