ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. Which action 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 option acknowledges the client's feelings of anger and normalizes their response, showing empathy and understanding. By reassuring the client, the nurse validates their emotions and helps establish a therapeutic relationship.
A: Discussing risk factors for colon cancer may not address the client's immediate emotional needs of dealing with anger and grief.
B: Focusing on teaching future management may be premature at this stage when the client is still processing their emotions.
C: Providing written information about phases of loss and grief may be helpful, but it does not directly address the client's current expression of anger.
Summary: Option D is the best choice as it prioritizes addressing the client's emotional needs and building rapport. Options A, B, and C do not effectively address the client's current emotional state.
Question 2 of 5
A nurse is caring for a group of patients.Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Placing a patient with tuberculosis in a room with negative-pressure airflow is crucial to prevent the spread of infection. Negative-pressure airflow helps to contain and remove airborne pathogens, reducing the risk of transmission to others. This is especially important for patients with airborne infectious diseases like tuberculosis.
Incorrect
Choices:
A: Carrying soiled linens in a mesh bag can lead to the spread of infection as pathogens may escape through the mesh.
C: Providing disposable items for an HIV-positive patient is good practice for reducing cross-contamination but does not directly address airborne infection control.
D: Disposing of blood-saturated dressings in a trash bag is not appropriate as it can lead to exposure to bloodborne pathogens. Double-bagging does not provide adequate protection.
Question 3 of 5
A nurse is placing a patient on isolation precautions. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: The correct answer is A and B. Wearing an N95 mask is crucial for airborne precautions to protect the nurse from inhaling infectious particles. Placing a container for soiled linens inside the patient's room prevents contamination of other areas.
Choice C is incorrect because a sterile, water-resistant gown is not necessary for isolation precautions.
Choice D is incorrect as ventilation is not a specific action for isolation precautions.
Question 4 of 5
A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. Which action 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 option acknowledges the client's feelings of anger and normalizes their response, showing empathy and understanding. By reassuring the client, the nurse validates their emotions and helps establish a therapeutic relationship.
A: Discussing risk factors for colon cancer may not address the client's immediate emotional needs of dealing with anger and grief.
B: Focusing on teaching future management may be premature at this stage when the client is still processing their emotions.
C: Providing written information about phases of loss and grief may be helpful, but it does not directly address the client's current expression of anger.
Summary: Option D is the best choice as it prioritizes addressing the client's emotional needs and building rapport. Options A, B, and C do not effectively address the client's current emotional state.
Extract:
Nurses’ Notes
Client 1: The client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: The client has a history of hyperlipidemia. Atorvastatin 20 mg PO was administered as prescribed.
Client 3: The client is 1 day postoperative. The client reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous was administered as prescribed.
Client 4: The client is admitted with a new diagnosis of heart failure.
Client 5: The client has a stage 2 pressure injury on the left heel.
Client 6: The client is admitted with a new diagnosis of diabetes mellitus.
Question 5 of 5
A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions.Exhibits:Based on the Nurses’ Notes, which client should the nurse assess first? Please select the correct client number from the choices below:
Correct Answer: C
Rationale: The correct answer is Client 3. The rationale is to prioritize based on the urgency of the clients' conditions. Client 3 should be assessed first because the urgency of their condition is likely higher compared to the others. Assessing Client 3 first ensures that any critical issues are addressed promptly, potentially preventing further deterioration. Clients 1, 2, 4, and 5 may have important needs but are not as urgent as Client 3. Client 6 is not listed, so it is not a relevant option.
Therefore, by prioritizing the assessment of Client 3, the nurse can provide timely and appropriate care to the most critical patient.