ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 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: D
Rationale: The correct answer is D: Reassure the client that this is an expected response to grief. This response is appropriate because acknowledging and validating the client's feelings of anger is crucial in the grieving process. By reassuring the client that his anger is a normal part of coping with the diagnosis, the nurse can help the client feel understood and supported. This can also help build trust and rapport with the client.
Explanation for other choices:
A: Discussing risk factors may not be the most immediate or helpful response to the client's current emotional state.
B: Focusing on future management may not address the client's current emotional needs and could come across as dismissive of his feelings.
C: Providing information on loss and grief phases may be relevant but may not directly address the client's current expression of anger.
Overall, the focus should be on acknowledging and validating the client's feelings first.
Question 2 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.
Question 3 of 5
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
Correct Answer: B
Rationale: The correct answer is B: Initiate a discussion with clients about ways to cope with changes in family dynamics. This is the most appropriate strategy for the nurse to use during the support group session because it focuses on helping clients cope with the aftermath of suicide within the family. By discussing coping strategies, clients can learn effective ways to navigate the changes in family dynamics that may occur following a suicide. This can help clients process their emotions, build resilience, and improve their overall well-being.
Rationale for other choices:
A: Encouraging clients to establish a timeline for their own grieving process may not be helpful as each individual's grieving process is unique and cannot be strictly outlined in a timeline.
C: Assisting clients in identifying ways suicide could have been prevented may not be beneficial as it can lead to feelings of guilt and blame among group members.
D: Discouraging clients from sharing negative aspects of their relationship with the deceased persons can hinder the healing process and prevent clients from expressing their true emotions
Question 4 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This position helps promote a safe swallowing mechanism by facilitating proper alignment of the head and neck. Sitting at or below the client's eye level minimizes the risk of aspiration and choking during feeding. In contrast, option A (lifting chin when swallowing) may increase the risk of aspiration in clients with dysphagia. Option B (talking during feeding) can lead to distractions and increase the risk of choking. Option D (discouraging coughing) is incorrect because coughing is a protective mechanism to clear the airway and should not be discouraged during feedings.
Question 5 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C: "It might help me to listen to music while trying to sleep." This answer indicates that the client understands non-pharmacological pain management strategies taught preoperatively. Music can distract from pain, promote relaxation, and improve sleep quality. Option A suggests misinterpreting the need for more frequent pain medication. Option B distracts from pain temporarily but does not address long-term management. Option D indicates avoidance behavior, which is not a constructive approach to pain management.