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 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 3 of 5

A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

A. Loss of appetiteB. Left lower extremity tendernessC. Increased heart rate during physical activityD. Musculoskeletal weakness

Correct Answer: B

Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.

Question 4 of 5

A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

A. Instruct the client to take deep, rhythmic breaths.B. Encourage the client to apply a heating pad for 2 hr at a time.C. Remove distractions from the client's room.D. Apply an ice pack to the client's back for 1 hr.

Correct Answer: A

Rationale: Deep, rhythmic breaths (
A) relax muscles and reduce pain perception. Prolonged heat (
B) risks burns, distraction removal (
C) is secondary, and long ice (
D) is for acute pain, not mild chronic.

Question 5 of 5

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

A. The client is incapable of providing self-care.B. The client is unable to express their wishes.C. The client is terminally ill.D. The client has refused treatment

Correct Answer: B

Rationale: Durable power of attorney (
B) activates when the client can’t communicate healthcare decisions, not just self-care (
A), terminal illness (
C), or refusal (
D).

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN