ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: C
Rationale: The correct answer is C: Wear a mask when working within 3 feet of the client. Wearing a mask helps prevent the spread of respiratory droplets containing the influenza virus. This action protects the nurse and other individuals from inhaling the virus. Administering metronidazole (
A) is not relevant for influenza treatment. Donning protective eyewear (
B) is not necessary unless there is a risk of splashes or sprays. Placing the client in a negative airflow room (
D) is excessive for standard isolation precautions for influenza.
Question 2 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because it shows the client's awareness of the need to prevent falls, a common concern for older adults with heart failure who may experience dizziness or weakness due to their condition or medication. Leaving a light on in the bathroom at night can help the client navigate safely and reduce the risk of falls.
Choice A is incorrect as taking a hot bath before bed can increase the risk of dehydration, which is not recommended for a client with heart failure.
Choice B is incorrect as weighing weekly may not provide timely feedback on fluid retention, a common issue in heart failure.
Choice C is incorrect as taking hydrochlorothiazide in the evening may lead to nighttime urination and disturb sleep.
Question 3 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Offer to play music in the client's room. Music therapy has been shown to effectively reduce pain perception and promote relaxation. It can distract the client from the pain and enhance their overall well-being. Massaging the sacrum (choice
A) may worsen the pressure injury and should be avoided. Bright lights (choice
B) may exacerbate the client's discomfort. Loosening bed linens (choice
C) may not directly address the pain issue.
Therefore, providing music therapy is the most appropriate nonpharmacological intervention in this scenario.
Question 4 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This is because a speech-language pathologist specializes in diagnosing and treating swallowing difficulties (dysphagia) that often occur after a stroke. They can assess the client's swallowing function, provide strategies to improve swallowing safety, and recommend appropriate diet modifications. The other options (B: Occupational therapist, C: Physical therapist, D: Social worker) do not specifically address the client's swallowing issue and are not the primary professionals for managing dysphagia in stroke patients.
Question 5 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: C
Rationale: The correct answer is C: Eat a light carbohydrate snack before bedtime. Carbohydrates can increase the production of serotonin, a neurotransmitter that helps regulate sleep. This can promote relaxation and aid in falling asleep. Napping during the day (choice
A) can make it harder to sleep at night. Exercising close to bedtime (choice
B) can increase alertness and make it difficult to fall asleep. Drinking hot cocoa (choice
D) can also contain caffeine, which can disrupt sleep.