ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Diagnostic Results
1000:
• Prealbumin level 13 mg/dL (15 to 36 mg/dL)
• Cholesterol 210 mg/dL (less than 200 mg/dL)
• Fasting glucose 110 mg/dL (70 to 110 mg/dL)
Medical History
0800:
The client has a history of malnutrition, hyperlipidemia, and diabetes mellitus. Mini Nutritional Assessment screening tool score of 7 points (0 to 14 points)
Question 1 of 5
A nurse is caring for a client who is scheduled for surgery. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.
Correct Answer: C,D,F
Rationale:
Correct Answer: C, D, F
Rationale:
C: History of malnutrition - Malnutrition leads to a deficiency in essential nutrients needed for wound healing, impairing the body's ability to repair tissues.
D: History of diabetes mellitus - Diabetes can lead to impaired circulation and nerve damage, both of which can delay wound healing.
F: Prealbumin level - Prealbumin is a marker of protein status and low levels indicate poor nutritional status, which can impact wound healing.
Incorrect
Choices:
A: Mini Nutritional Assessment screening tool score - While this tool assesses nutritional status, it does not directly indicate a risk for delayed wound healing.
B: History of hyperlipidemia - Hyperlipidemia is elevated levels of lipids in the blood and is not directly related to delayed wound healing.
E: Cholesterol level - Cholesterol level alone does not necessarily correlate with delayed wound healing risk.
Extract:
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube, ensuring proper airway patency. Using a collar with hook-and-loop fasteners allows for secure but adjustable placement, accommodating variations in neck size and minimizing the risk of pressure injuries. A: Wearing clean gloves during inner cannula cleaning is essential for infection control but not directly related to securing the tracheostomy. B: Placing a gauze pad under the flanges helps absorb secretions but does not directly address securing the tracheostomy. C: Cleansing the skin with hydrogen peroxide can be too harsh and irritating; a milder solution like saline is preferred.
Question 3 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure are at risk for falls due to potential nocturia (frequent need to urinate at night) caused by the diuretic effect of hydrochlorothiazide. Leaving a light on in the bathroom at night can help prevent falls.
Choice A is incorrect because weighing once weekly does not address the immediate safety concern related to falls.
Choice B is unrelated to safety considerations.
Choice D is incorrect as taking a hot bath before bed can potentially increase the risk of falls due to dizziness.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Hold bottles of sterile solution with the label in the palm of the hand. This is correct because it ensures that the nurse maintains sterile technique by preventing contamination of the solution. Holding the bottles with the label in the palm of the hand prevents touching the outside of the bottle, which could introduce contaminants.
Choice B is incorrect because pouring liquids into containers outside the sterile field risks contamination.
Choice C is incorrect as the sterile field should be at the level of the nurse's chest to prevent inadvertent contamination.
Choice D is incorrect because opening the outermost flap of the sterile kit toward the body risks contaminating the contents.
Question 5 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We can discuss what you can expect during your stay." This response acknowledges the client's anxiety and offers support by providing information. It empowers the client by involving them in the discussion and helps alleviate fear of the unknown.
Choice A dismisses the client's feelings and lacks empathy.
Choice B generalizes and may not address the client's specific concerns.
Choice C may come off as confrontational and put the client on the spot.