ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.
Correct Answer: D,C,B,E,A
Rationale:
To properly perform nasotracheal suctioning, the nurse should first don sterile gloves to maintain aseptic technique (
D).
Then, the nurse should turn on the suction and set the pressure (
C) to the appropriate level. Next, insert the catheter during the client's expiration, not inspiration, to minimize the risk of aspiration (
B). Apply suction while carefully rotating the catheter to remove secretions effectively (E). Finally, rinse the catheter to ensure it is clear of any remaining secretions (
A). This sequence ensures the safety and effectiveness of the suctioning procedure by following proper infection control measures and maintaining patient comfort.
Question 2 of 5
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?
Correct Answer: A
Rationale: The correct answer is A because using an electronic messaging system to remind clients when to take medications is an example of tertiary prevention. Tertiary prevention focuses on managing and reducing the impact of a disease or condition to prevent complications or further deterioration. By reminding clients to take their medications, the nurse is helping to control the progression of HIV and minimize potential complications.
Choices B, C, and D involve primary and secondary prevention activities, which aim to prevent the onset of disease or detect and treat it early.
Therefore, they are not considered tertiary prevention.
Question 3 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum cult
Question 4 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Place a container for soiled linens inside the client's room. This is essential for infection control as it helps prevent the spread of pathogens. Soiled linens can harbor infectious organisms, so having a designated container inside the room reduces the risk of contamination to other areas. Option A is incorrect because an N95 mask is typically not required for standard isolation precautions. Option C is incorrect as negative airflow rooms are usually reserved for clients with airborne infections. Option D is incorrect because the mask should be removed inside the room to prevent contamination.
Extract:
Question 5 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This is important in diabetes foot care to prevent moisture accumulation, reduce the risk of infections, and promote proper circulation. Soaking feet too often can lead to dry skin and potential skin breakdown. Rounding toenails can cause ingrown toenails. Using lotion between toes can create a moist environment, increasing the risk of fungal infections.
Therefore, the correct choice is D as it promotes good foot hygiene and reduces the risk of complications for patients with diabetes.