ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immobilized. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps maintain proper alignment and prevents foot drop, which can lead to contractures. Placing a pillow under the client's knees (
A) may alleviate pressure but does not directly address contracture prevention. Similarly, placing a towel roll under the client's neck (
B) and aligning a trochanter wedge between the client's legs (
C) focus on comfort and positioning but not specifically on preventing contractures. Applying an orthotic to the client's foot (
D) is the most appropriate choice as it directly addresses the risk of contractures by maintaining proper alignment and preventing muscle shortening.
Question 2 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. The priority is to understand the client's rationale behind refusal to address any barriers or concerns. This allows for tailored interventions to promote compliance and prevent complications like atelectasis. Requesting a respiratory therapist (
A) may be helpful later, but not the priority. Documenting refusal (
C) is important but doesn't address the root cause. Administering pain medication (
D) is not the priority over addressing the refusal.
Extract:
Laboratory Results 1200: Hgb 9.5 g/dL (14 to 18 g/dL)
Hct 38% (42% to 52%) Bilrubin 5.3 mg/dl (0.3 to 1.0 mg/dL) [ instruct the client to avoid blowing their nose forcefully.
Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL) [ Assess the dlent’s level of oientation
Platelet count 100,000/mm? (150,000 to 400,000/mm?)
[ Place the client under contact isolation.
1800:
Alanine aminotransferase ALT 51 units/L (4 to 36 units/L) Aspartate aminotransferase AST 48 units/L (0 to 35 units/L)
Alkaline phosphate ALP 151 units/L (30 to 120 units/L) Blood total protein 15 g/dL (6.4 to 8.3 g/dL
Question 3 of 5
A nurse is caring for a client who has been admitted to the hospital. Select the 5 actions the nurse should take?
Correct Answer: A,B,C,E,F
Rationale:
Correct Answer: A,B,C,E,F
Rationale:
A: Providing frequent rest periods aids in the client's recovery and prevents fatigue.
B: Restricting sodium intake is crucial for clients with certain conditions like hypertension.
C: Avoiding soap and alcohol-based lotions can prevent skin irritation, especially for sensitive skin.
E: Blowing nose forcefully can cause ear issues, so advising against it is essential.
F: Assessing orientation helps monitor the client's cognitive status and detect any changes early.
Summary:
D: There is no indication in the scenario to place the client on a low-carbohydrate diet.
G: Option G is missing, so it cannot be considered as a valid action in this context.
Extract:
Question 4 of 5
nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork belowi. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct Answer: D
Rationale:
1. Crackles are typically heard in the lower lung fields where fluid accumulates in pneumonia.
2. Anterior chest wall location D corresponds to the lower lung fields where crackles are most likely to be heard.
3. By auscultating at location D, the nurse can accurately assess for crackles in the affected area.
Summary:
- A, B, and C are incorrect as they are higher on the chest wall and not where crackles are typically heard in pneumonia.
- E, F, and G are not valid choices as they do not correspond to any specific lung fields for auscultation in pneumonia.
Question 5 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.