ATI RN
ATI Fundamentals 2023 Retake 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: A
Rationale:
Correct Answer: A. The client drinking thickened juice with a straw should prompt intervention by the nurse. Thickened liquids are often recommended for clients with dysphagia to prevent aspiration. Using a straw with thickened liquids can alter the consistency and may increase the risk of aspiration. This action is potentially harmful to the client's safety and should be corrected immediately.
Summary:
B: Tucking the chin when swallowing is a proper technique to help prevent aspiration, so this action does not require intervention.
C: Taking frequent breaks while eating is a common strategy for individuals with dysphagia to pace themselves and reduce the risk of aspiration.
D: Adjusting the head of the bed to 90° is a recommended position to facilitate safe swallowing and reduce the risk of aspiration.
Question 2 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the family if they wish to assist in washing the client's body. This is important to involve the family in the postmortem care process, which can provide them with closure and a sense of participation in their loved one's care. It also respects cultural and religious beliefs regarding death rituals. Removing dentures (
A) may not be appropriate without family consent. Turning lights to a bright setting (
B) can be harsh and insensitive. Leaving the client's eyes open (
D) can be distressing for the family.
Question 3 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: D
Rationale: The correct answer is D: Access the online drug formulary for an unfamiliar medication. This is important to ensure safe medication administration as it allows the nurse to verify the medication's indications, contraindications, dosages, and potential side effects. By accessing the drug formulary, the nurse can gather essential information to make informed decisions and prevent medication errors. Reading the medication label twice (
A) may help ensure accuracy but does not provide comprehensive information. Using one patient identifier (
B) is essential for patient safety but does not specifically address medication administration. Asking the client about similar medications (
C) may be helpful but does not provide objective and detailed information.
Question 4 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a night light. This is important for fall prevention as it helps the client see clearly at night, reducing the risk of tripping or falling in the dark. Night lights can improve visibility and safety without disrupting sleep.
Choice B could potentially restrict the client's movement and increase the risk of entrapment.
Choice C does not directly address fall prevention.
Choice D focuses on room temperature, which is not directly related to fall risk.
Question 5 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: C
Rationale: The correct answer is C, "You're concerned about what will happen when you leave the hospital?" This response shows empathetic listening, acknowledges the client's feelings, and opens the door for further discussion. Option A dismisses the client's feelings. Option B implies the client shouldn't be concerned. Option D minimizes the client's emotions and focuses solely on physical aspects.