ATI RN
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ATI RN Fundamentals Exam 6 Questions
Extract:
Question
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1 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 2 of 5
A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?
Correct Answer: C
Rationale: Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents. The sterile field should be above waist level to avoid contamination. Placing dry sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items. Sterile gloves should be donned before preparing the sterile field to avoid contamination.
Question 3 of 5
A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 4 of 5
A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?
Correct Answer: B
Rationale: Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.
Question 5 of 5
A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Sterile gloves are not necessary for a tap water enema; clean non-sterile gloves are sufficient. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema. Lowering not raising the enema bag will allow for a slower flow and may reduce cramping.