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 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 2 of 5
A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?
Correct Answer: A
Rationale: Holding the cane on the affected side is a correct technique to provide support. Keeping two points of support on the ground is a proper technique for stability. Advancing the cane before moving the unaffected leg is incorrect and may lead to instability and increased risk of falls. Supporting weight on both legs while moving the cane forward is a correct technique for stability during ambulation.
Question 3 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.
Question 4 of 5
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure?
Correct Answer: C
Rationale: Raising the index finger is not a typical response for managing gagging during NG tube insertion. Bearing down during insertion is not an appropriate instruction and may increase the risk of complications. Instructing the client to say "stop" if a burning sensation is felt inside the nose allows for communication and prompt action to ensure the client's comfort and safety. Inhaling forcefully during insertion is not a recommended action and may interfere with the procedure.
Question 5 of 5
A nurse should assign which of the following tasks to an assistive personnel?
Correct Answer: A
Rationale: Giving oral care to a client who cannot take oral fluids is a task that can be safely delegated to an assistive personnel. Checking intravenous insertion sites for signs of infiltration requires nursing judgment and assessment skills and should be performed by a licensed nurse. Assessing a client's ability to ambulate involves clinical judgment and should be performed by a licensed nurse. Demonstrating how to use a glucometer to a client with diabetes requires nursing knowledge and education skills and should be performed by a licensed nurse.