ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 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 assess the client's rationale for refusal to address any underlying concerns or misconceptions. This allows the nurse to provide education, support, and encouragement tailored to the client's needs. Requesting a respiratory therapist may be helpful but doesn't address the client's specific reasons for refusal. Documenting refusal is important but doesn't address the immediate need to understand the client's perspective. Administering pain medication may alleviate discomfort but doesn't address the client's refusal.
Question 2 of 5
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
Correct Answer: A
Rationale: The correct answer is A: Latex. Latex allergies are crucial to address prior to IV therapy as latex is commonly found in medical equipment like gloves and IV tubing. An allergic reaction to latex can be severe and life-threatening. Seafood, bee stings, and peanuts are not typically related to IV therapy and would not directly impact the administration of the therapy. The focus should be on latex allergy due to its direct relevance to medical equipment used during IV therapy.
Question 3 of 5
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the case manager's commitment to assisting the client in making informed decisions about alternative therapies. By offering to review information and help select a safe alternative practitioner, the case manager is showing support and guidance.
Choice B is incorrect because it assumes the provider will automatically inform the client about therapies, which may not always be the case.
Choice C is incorrect as it implies that any therapy aligned with the client's belief system is suitable, which may not always be safe or effective.
Choice D is incorrect as online support groups may not provide reliable information on alternative remedies.
Question 4 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 circulation and prevent undue pressure on the client's legs. If the sleeves are too tight, it can lead to decreased blood flow and potential complications like deep vein thrombosis.
Choice A is incorrect because placing the client in a prone position is not necessary for using sequential compression sleeves.
Choice B is incorrect as the opening of the sleeve should be at the foot, not the knee.
Choice D is incorrect as the ankle pressure should typically be set according to the specific manufacturer's guidelines, not a fixed value of 65 mm Hg.
Question 5 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored