ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is unconscious. Which of the following actions is appropriate for the nurse to take when providing the client's oral care?
Correct Answer: B
Rationale: Testing for the gag reflex in an unconscious client may cause discomfort and is not necessary for oral care. Lubricating the lips with petroleum jelly helps prevent dryness and cracking maintaining comfort for the unconscious client. Placing the client in the supine position may increase the risk of aspiration during oral care. The head should be turned to the side (lateral position) to facilitate drainage. Using a firm toothbrush may cause injury to the gums and oral tissues. A soft toothbrush is more appropriate for oral care in unconscious clients.
Question 2 of 5
A nurse is teaching a client who can bear weight on only one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct this client to use?
Correct Answer: D
Rationale: Two-point gait involves simultaneous partial weight-bearing on both legs. For a client who can bear weight on only one leg this gait is not suitable. Four-point gait involves alternating weight-bearing on each leg. It provides a stable and slow gait pattern making it appropriate for a client who can bear weight on only one leg. Swing-through gait is more advanced and involves swinging both crutches and the affected leg forward together. This is typically used for clients with more strength and coordination. Three-point gait involves non-weight-bearing on one leg and requires the use of crutches or an assistive device on one side only. It is not suitable for a client who can bear weight on one leg.
Question 3 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.
Question 4 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin which facilitates the entry of tryptophan into the brain promoting the production of serotonin and melatonin. Taking a 30-minute daily nap especially close to bedtime may interfere with nighttime sleep. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine which can interfere with sleep.
Question 5 of 5
A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?
Correct Answer: C
Rationale: Vest restraints are not appropriate for seizure precautions. Restraints are generally not recommended as the primary intervention for seizure management. The use of tongue blades during a seizure is not recommended and could pose a risk of injury. Oxygen setup is crucial for managing a client during and after a seizure to ensure proper oxygenation. Neck brace is not necessary for seizure precautions and may pose a risk during a seizure episode.