ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Make sure two fingers can fit under the sleeves. This is important to ensure proper compression and prevent complications like tissue damage or impaired circulation. If the sleeves are too tight, it can lead to decreased blood flow. Assisting the client into a prone position (
A) is not necessary for applying the sleeves. Placing the sleeve over the top of each leg with the opening at the knee (
B) is incorrect as it may result in improper placement. Setting the ankle pressure at 65 mm Hg (
D) is not appropriate without ensuring proper fit first. The key is to prioritize proper fit and compression effectiveness to promote optimal postoperative recovery.
Question 2 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. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
Question 3 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 4 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: The correct answer is C: A mole with an asymmetrical appearance. The nurse should identify this as a potential indication of skin malignancy because asymmetry is a key characteristic of melanoma, a type of skin cancer. In melanoma, one half of the mole does not match the other half. Other choices are incorrect because: A: A lesion with uniform pigmentation is less likely to be malignant as skin cancer lesions often have irregular borders and uneven colors. B: Petechiae are tiny red or purple spots on the skin caused by bleeding under the skin and are not typically associated with skin cancer. D: The presence of a papule alone is not specific to skin cancer and could be indicative of various skin conditions.
Question 5 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action to take first is A: Check the client for injuries. This is crucial to assess the client's immediate physical condition and prioritize necessary interventions. Checking for injuries helps determine the severity of the situation and guides further actions. Moving hazardous objects (
B) should only be done after ensuring the client's safety. Notifying the provider (
C) can wait until the client's immediate needs are addressed. Asking the client about their feelings (
D) is important but should come after ensuring no critical injuries are present.