ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
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?
Correct Answer: B
Rationale: The correct answer is B because clients with dysphagia are typically recommended to avoid using straws as they can increase the risk of aspiration. Thickened liquids are already a modification to make swallowing safer, so using a straw could negate that.
Choice A is correct as it promotes proper positioning for swallowing.
Choice C is acceptable as taking breaks can reduce the risk of aspiration.
Choice D is also correct as tucking the chin helps to protect the airway during swallowing.
Question 2 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: C
Rationale: The correct answer is C: Three-point gait. This gait is appropriate for clients who can bear weight on only one leg. In a three-point gait, the client moves both crutches and the affected leg forward together, then advances the unaffected leg past the crutches. This allows for maximum support and stability while keeping weight off the affected leg. The other choices are incorrect because: A: Four-point alternating gait involves bearing partial weight on both legs, not suitable for someone who can bear weight on only one leg. B: Two-point alternating gait requires bearing weight on both legs simultaneously, not suitable for the client's condition. D: Swing-through gait involves both legs swinging through together, not appropriate for someone who can bear weight on only one leg.
Question 3 of 5
A nurse is obtaining a specimen for a wound culture from a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Apply sterile gloves to remove the outer dressing. This is the correct action because it ensures that the nurse maintains a sterile field while obtaining the wound culture specimen. By applying sterile gloves, the nurse minimizes the risk of introducing contaminants to the wound, which could lead to inaccurate culture results or potential infection.
Choices A, B, and D are incorrect because:
A: Rotating the swab over necrotic tissue can introduce contaminants and compromise the accuracy of the culture results.
B: Obtaining the sample from the outer edge of the wound may not provide an accurate representation of the microbial flora present in the wound.
D: Crushing the transport medium after obtaining the specimen can lead to spillage and contamination of the specimen.
By choosing option C, the nurse follows proper sterile technique and ensures the integrity of the wound culture specimen.
Question 4 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D - "My medications could interact with foods that I eat."
Rationale:
1. Medications can interact with foods: Some medications can have interactions with certain foods, affecting their effectiveness or causing side effects.
2. Importance of awareness: Being aware of potential food-drug interactions is crucial to ensure medication safety and effectiveness.
3. Client safety: Understanding the possibility of food-medication interactions shows the client's comprehension of medication safety, indicating responsible behavior.
Summary of Incorrect
Choices:
A: Incorrect - Not informing the doctor about herbal supplements can lead to potential drug interactions.
B: Incorrect - Past use of medications does not guarantee immunity to allergic reactions; precautions are still necessary.
C: Incorrect - Stopping medication abruptly can be dangerous; consulting a healthcare provider is crucial.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by their provider. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse is respecting the client's autonomy and cultural beliefs by offering a referral to a practitioner of traditional Chinese medicine. This response shows cultural competence and patient-centered care.
Choice A is incorrect because it assumes the provider will recommend against traditional Chinese medicine.
Choice B is incorrect because it dismisses the client's preference without exploring it further.
Choice C is incorrect because the FDA does not regulate traditional Chinese medicine.