ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 2 of 5
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Wear loose-fitting underwear. Tight clothing can create a warm and moist environment, promoting bacterial growth and increasing the risk of urinary tract infections (UTIs). Loose-fitting underwear allows for better airflow and reduces moisture retention, minimizing the likelihood of UTIs.
Choice B is incorrect because bubble baths can disrupt the natural balance of vaginal flora, making the client more susceptible to infections.
Choice C is insufficient as adequate hydration is important but not specific to preventing UTIs.
Choice D is important for bladder health but does not directly address UTI prevention.
Question 3 of 5
A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?
Correct Answer: B
Rationale: The correct answer is B: Palms of the hands. In dark-skinned individuals, cyanosis, a bluish discoloration of the skin due to decreased oxygen levels, can be difficult to detect. The palms of the hands are one of the best areas to assess for cyanosis in dark skin because the skin is thinner, allowing for better visualization of color changes. Other locations like the sacrum, shoulders, and areas of trauma may not provide an accurate assessment for cyanosis due to differences in skin thickness and pigmentation.
Therefore, observing the palms of the hands allows for a more reliable assessment of cyanosis in clients with dark skin.
Question 4 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important as it helps prevent infection and promotes healing. First, wash hands thoroughly.
Then, remove the old dressing, clean around the stoma with sterile saline, and apply a new sterile dressing. The other choices are incorrect because:
A) Operating the suction machine should only be done by healthcare professionals.
B) Securing the tracheostomy tube is essential but not the priority in this scenario.
C) Changing the tracheostomy tube daily is not recommended unless there is a specific reason to do so, as it can cause trauma to the stoma.
Question 5 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys leading to blood in the urine. This is because the damaged glomeruli allow red blood cells to leak into the urine, causing hematuria. Oliguria (
A) is decreased urine output, which can occur due to decreased kidney function but is not a specific finding of acute glomerulonephritis. Hypotension (
B) is not typically associated with glomerulonephritis unless there are severe complications. Weight loss (
C) is more commonly seen in chronic kidney disease rather than acute glomerulonephritis. Hematuria is the hallmark finding in acute glomerulonephritis due to the inflammatory damage to the glomeruli.