ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. Placing the client in this position allows gravity to assist in the drainage of secretions from the left lower-lobe atelectasis. The Trendelenburg position promotes the movement of mucus towards the larger airways for easier expectoration. The other choices are incorrect because:
A) Supine in low-Fowler's position does not facilitate drainage from the lower lobes.
B) Side-lying with the right side of the chest elevated would not effectively target the left lower lobe.
C) Prone with pillows under the lower extremities is not ideal for addressing atelectasis in the lower lobes.
Question 2 of 5
A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Cut the old ties after the new ties are secured. This is the correct action as it ensures the client's airway remains stable during the tie change process. By securing the new ties first before cutting the old ones, the nurse prevents accidental decannulation, maintaining the client's airway patency.
Choice A is incorrect because extending the client's neck may cause discomfort and is unnecessary for securing the ties.
Choice B is incorrect as quick-release knots are not recommended for tracheostomy ties due to the risk of accidental untying.
Choice C is incorrect as allowing space for three fingers under the ties does not ensure proper securement.
In summary, cutting the old ties after securing the new ties is crucial for maintaining the client's airway safety during a tracheostomy tie change.
Question 3 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Use trochanter rolls beside the client’s legs. Trochanter rolls help prevent external rotation of the hips, maintaining proper alignment and preventing pressure ulcers. Placing the client’s arms at their sides (
B) may restrict circulation. Crossing the client’s ankles (
C) can cause pressure ulcers. Logrolling (
D) is not necessary for routine turning. It is essential to maintain proper body alignment and prevent complications in immobile clients.
Extract:
A nurse is caring for a client who is scheduled for surgery.
Exhibit 1
Medical History
0800:
Client has a history of malnutrition, hyperlipidemia, and diabetes mellitus.
Mini Nutritional Assessment screening tool score of 7 points (0 to 14 points)
Question 4 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply
Correct Answer: A,C,E,F
Rationale: The correct answers are A, C, E, and F.
A: History of diabetes mellitus - Diabetes affects blood flow and impairs the immune system, leading to delayed wound healing.
C: Prealbumin level - Low prealbumin levels indicate malnutrition, which can hinder wound healing.
E: Mini Nutritional Assessment screening tool score - A low score indicates poor nutritional status, impacting wound healing.
F: History of malnutrition - Malnourished individuals lack essential nutrients needed for proper wound healing.
The incorrect choices:
B: Cholesterol level - Cholesterol levels do not directly impact wound healing.
D: History of hyperlipidemia - Hyperlipidemia does not necessarily affect wound healing.
Extract:
Question 5 of 5
A nurse identifies a small fire in a client’s room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: C
Rationale: The correct answer is C: Activate the facility’s fire alarm. This is the next action the nurse should take because it alerts others to the fire and initiates the building's evacuation protocol. This ensures the safety of all individuals in the facility.
Placing wet towels along the base of the door (
A) may help prevent smoke from entering the room, but it is not the priority when there is an active fire. Turning off electrical equipment (
B) is important to prevent further hazards, but it is not the immediate action needed in this situation. Directing a fire extinguisher at the fire (
D) should only be done if the nurse is trained in using one and if it is safe to do so; however, activating the fire alarm takes precedence.