ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?
Correct Answer: D
Rationale: Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.
Question 2 of 5
A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?
Correct Answer: D
Rationale: Dispose of the dressing in a biohazardous waste container: This is the correct action. Biohazardous waste containers are specifically designed to safely dispose of materials that may be contaminated with blood, body fluids, or infectious agents. Proper disposal helps to prevent the spread of infection and ensures compliance with safety regulations in healthcare settings.
Question 3 of 5
The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?
Correct Answer: D
Rationale: I’m going to miss talking with you every day but you are better and ready to go home now: This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided.
Question 4 of 5
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Correct Answer: D
Rationale: Keeping an appointment with a client: This action demonstrates fidelity, which involves the nurse's commitment to honoring promises and maintaining trust in the nurse-client relationship. By keeping appointments, the nurse shows reliability and respect for the client's time and needs, which is fundamental to ethical nursing practice.
Question 5 of 5
Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Client's hearing deficit: The client’s hearing loss poses a significant barrier to effective communication. Volume of the client's television: A loud television creates distracting background noise. Numerous visitors in the client's room: Having multiple visitors can create distractions and noise. Increase in pain after ambulation: The reported increase in pain can affect the client’s focus and engagement in communication.