ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

A. The client drinks their thickened juice with a straw.B. The client takes frequent breaks while eating.C. The client adjusts the head of their bed to 90 degrees.D. The client tucks their chin when they swallow.

Correct Answer: A

Rationale: Drinking thickened juice with a straw (
A) increases aspiration risk in dysphagia; a cup is safer. Breaks (
B), upright position (
C), and chin tuck (
D) reduce aspiration risk.

Question 2 of 5

A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

A. I am not able to walk for very long so I ride the stationary exercise bike at the gym.'B. I enjoy having lunch with my grandchildren every other Sunday.'C. I have a few friends over for coffee a couple of times a week.'D. I have a lot of arthritis pain, so I only leave my house to get the mail.'

Correct Answer: D

Rationale: Limited outings due to pain (
D) suggest isolation. Gym use (
A), family lunches (
B), and friend visits (
C) indicate social engagement.

Question 3 of 5

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

A. Room numberB. Telephone numberC. Patient's nameD. Diagnosis

Correct Answer: C

Rationale: The patient’s name (
C) is the standard identifier to ensure the right client, per safety protocols. Room number (
A), phone (
B), and diagnosis (
D) aren’t reliable identifiers.

Question 4 of 5

A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?

A. I will take 250 milligrams of calcium once per day.'B. I will decrease my intake of dairy products.'C. I will walk three times per week.'D. I will avoid exposure to the sun.'

Correct Answer: C

Rationale: Walking three times weekly (
C) is a weight-bearing exercise that strengthens bones, reducing osteoporosis risk. Low calcium (A, 1200 mg needed), less dairy (B, a calcium source), and no sun (D, needed for vitamin
D) increase risk.

Question 5 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Use povidone-iodine to clean around the stoma.'B. Cut the opening of the pouch 1/8 of an inch larger than the stoma.'C. Empty the ostomy pouch when it becomes one-third full of contents.'D. Place a piece of gauze over the stoma while changing the pouch.'E. Expect the stoma to turn a purple-blue color as it heals.'

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN

ATI RN