ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior prior to being placed in seclusion. This is important for maintaining accurate and detailed records of the client's behavior leading up to seclusion, which can help in evaluating the appropriateness of the intervention and in providing important information for the client's treatment plan. Assessing the client's behavior once every hour is important but not the most appropriate immediate action. Offering fluids every 2 hours is not directly related to the client's need for seclusion. Discussing with the client his inappropriate behavior prior to seclusion may not be appropriate or safe in the context of needing seclusion to prevent harm.
Question 2 of 5
A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Pharyngeal diphtheria is primarily spread through respiratory droplets. Droplet precautions involve wearing a mask to prevent the spread of droplets when in close contact with the client. Contact precautions are used for diseases transmitted by direct physical contact. Airborne precautions are for diseases spread through tiny particles that remain suspended in the air. Protective precautions are not specific to any particular mode of transmission.
Question 3 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to blood in the urine (hematuria). This occurs due to the damaged glomerular filtration membrane allowing red blood cells to leak into the urine. Oliguria is not typically seen in acute glomerulonephritis as the kidneys are still able to produce urine, albeit with blood in it. Hypotension is not a common finding as glomerulonephritis often presents with hypertension due to fluid retention. Weight loss (
Choice
C) is unlikely since fluid retention is more common. Hematuria (
Choice
D) is the hallmark sign of acute glomerulonephritis due to the inflammation and damage to the glomeruli.
Question 4 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored
Question 5 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: A
Rationale: The correct answer is A: A client who is ambulatory and receiving oxygen. This client should be evacuated first due to the risk of oxygen supporting combustion during a fire. Ambulatory clients can move independently, making evacuation quicker.
Choices B, C, and D have limitations that would slow down evacuation or increase risks during a fire.
Choice B has traction that requires careful handling,
Choice C may have impaired communication with the hearing aid, and
Choice D's confusion could hinder cooperation. Evacuating clients with these limitations first could delay the evacuation process or pose additional risks.