ATI RN
RN ATI FUNDAMENTALS 2024 EXAM 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: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to help relieve pain. However, in the case of herpes zoster, also known as shingles, which is a viral infection affecting the nerves and causing a painful rash, there is a risk of spreading the virus through the insertion of needles. This could potentially worsen the condition and lead to complications.
Therefore, acupuncture is contraindicated for clients with herpes zoster.
A: Biofeedback, B: Aloe, and C: Reflexology are generally considered safe complementary therapies for pain control and do not pose a risk of spreading the virus in the case of herpes zoster. Biofeedback helps individuals learn to control physiological processes, aloe has soothing properties, and reflexology involves applying pressure to specific points on the feet or hands to promote relaxation and pain relief.
Question 2 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A: Insert the catheter at a 45-degree angle.
Rationale: Inserting the catheter at a 45-degree angle is appropriate for older adults as their skin may be more fragile, reducing the risk of tissue damage. This angle also helps in successful IV insertion by facilitating cannulation of the vein.
Summary of other choices:
B: Placing the client's arm in a dependent position does not directly impact the IV catheter insertion process.
C: Shaving excess hair is unnecessary and may increase the risk of skin irritation and infection.
D: Initiating IV therapy in the veins of the hand is not specific to the insertion technique and does not address the angle of insertion.
Question 3 of 5
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
Correct Answer: A
Rationale: The correct answer is A: Make sure the client's room has at least six air exchanges per hour. This is important for a client post allogeneic stem cell transplant to reduce the risk of exposure to pathogens. The high air exchange rate helps maintain a clean environment and reduce the transmission of infections.
Choice B is incorrect because wearing a mask outside the room does not address the air quality within the client's room.
Choice C is incorrect as negative-pressure airflow rooms are typically used for clients with airborne infections, not for those post stem cell transplant.
Choice D is incorrect as wearing an N95 respirator is not necessary if the room has adequate air exchanges.
Question 4 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B. The nurse's priority is to determine the reasons why the client is refusing to use the incentive spirometer. By understanding the client's concerns or fears, the nurse can address them effectively. This approach promotes client-centered care and helps in creating a supportive environment for the client's recovery. Requesting a respiratory therapist (choice
A) is not the priority as the client's refusal needs to be addressed first. Documenting the client's refusal (choice
C) is important but does not address the underlying issue. Administering pain medication (choice
D) is not the priority as it does not address the client's refusal.
Question 5 of 5
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: C
Rationale: The correct answer is C: Compare the client's home medications with the provider's prescriptions. This is essential for medication reconciliation to ensure accuracy and safety. By comparing the client's existing medications with the new prescriptions, the nurse can identify any discrepancies or potential interactions. This step helps prevent medication errors and ensures continuity of care.
Incorrect answers:
A: Verifying the client's name on their identification bracelet is important for identification but not specifically related to medication reconciliation.
B: Calling the pharmacy does not directly address comparing home medications with provider prescriptions.
D: Placing home medication bottles in a secure location is not part of the medication reconciliation process.