ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C because providing the client with written information about the phases of loss and grief acknowledges and validates the client's feelings of anger, helping him understand that it is a normal part of coping with a cancer diagnosis. This action supports the client emotionally and educates him on the grieving process, enabling him to navigate his emotions more effectively.
Choice A is incorrect because discussing risk factors may not address the client's immediate emotional needs.
Choice B is incorrect as focusing on future management may disregard the client's current emotional state.
Choice D is incorrect as simply reassuring the client may not address the underlying emotions causing the anger.
Question 2 of 5
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning?
Correct Answer: A
Rationale: The correct answer is A. Initiating discharge planning during the admission process ensures that the nurse can start early assessment of the client's needs, establish goals, and coordinate resources for a smooth transition post-hospitalization. This proactive approach allows for comprehensive evaluation and preparation, ultimately enhancing the client's overall outcome.
Choice B is incorrect because waiting until the client's condition is stable may delay crucial planning and implementation.
Choice C is incorrect as it may not address the individual client's needs adequately.
Choice D is incorrect as family consultation should complement, not precede, the initial planning process.
Question 3 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 4 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct as documenting the provider's instructions in the medical record ensures clear communication and accountability. This helps track the client's condition and the actions taken.
Choices B, C, and D are incorrect as they do not address the immediate need to follow the surgeon's instructions. The priority is to ensure the client's vital signs are monitored as directed.
Question 5 of 5
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C because using the planning step of the nursing process to prioritize client care delivery allows the nurse to systematically organize and prioritize tasks based on client needs, urgency, and importance. By following this approach, the nurse can allocate time efficiently to address critical client needs first, thus optimizing time management.
Choice A is incorrect as combining client care tasks may lead to overlooking specific client needs or compromising the quality of care.
Choice B is incorrect because waiting until the end of the shift to document client care can result in inaccuracies, omissions, or delays in recording important information.
Choice D is incorrect as allowing interruptions in tasks to discuss client care issues with colleagues can disrupt workflow and hinder time management.
Overall, utilizing the planning step of the nursing process is the most effective strategy for managing time and ensuring comprehensive and timely client care.