ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: A
Rationale: The correct answer is A: Biofeedback. Biofeedback involves monitoring bodily functions to gain control over normally involuntary processes. In the case of herpes zoster, the skin lesions and pain may interfere with the accuracy and effectiveness of biofeedback techniques. Herbal remedies (
C) can be used cautiously, aloe (
B) can provide soothing effects, and acupuncture (
D) can help manage pain in herpes zoster. However, biofeedback may not be suitable due to the discomfort and sensitivity associated with the condition.
Question 2 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This is important in diabetes foot care to prevent moisture accumulation, reduce the risk of infections, and promote proper circulation. Soaking feet too often can lead to dry skin and potential skin breakdown. Rounding toenails can cause ingrown toenails. Using lotion between toes can create a moist environment, increasing the risk of fungal infections.
Therefore, the correct choice is D as it promotes good foot hygiene and reduces the risk of complications for patients with diabetes.
Question 3 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedure weight. This is the most appropriate action to evaluate the effectiveness of the paracentesis. Paracentesis is a procedure to remove fluid from the abdominal cavity. By comparing the client's current weight with the preprocedure weight, the nurse can assess the amount of fluid removed and determine the effectiveness of the procedure in relieving ascites, a common complication of end-stage liver disease. Checking for leakage at the site of the procedure is important for immediate post-procedure assessment but does not evaluate the effectiveness of the procedure. Confirming that the client is able to urinate is important for assessing kidney function but does not directly evaluate the effectiveness of the paracentesis. Checking the client's serum albumin levels is important for assessing liver function but does not specifically evaluate the effectiveness of the procedure in removing fluid.
Question 4 of 5
A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and comfort. Sitting also conveys a sense of attentiveness and empathy, which can help the client feel more at ease and open up during the health history assessment. Standing at the side of the bed (
B) may create a sense of imbalance or distance. Sitting on the bed (
C) can invade the client's personal space and may not be professional. Standing at the foot of the bed (
D) can be intimidating and lacks a sense of closeness and connection.
Question 5 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This position helps promote a safe swallowing mechanism by facilitating proper alignment of the head and neck. Sitting at or below the client's eye level minimizes the risk of aspiration and choking during feeding. In contrast, option A (lifting chin when swallowing) may increase the risk of aspiration in clients with dysphagia. Option B (talking during feeding) can lead to distractions and increase the risk of choking. Option D (discouraging coughing) is incorrect because coughing is a protective mechanism to clear the airway and should not be discouraged during feedings.