ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose child died from cancer. The client states, 'It's hard to go on without him.' Which of the following questions should the nurse ask the client first?
Correct Answer: D
Rationale: The correct answer is D: "Are you thinking about ending your life?" This question is crucial as it directly addresses the client's statement about finding it hard to go on without their child, indicating potential suicidal ideation. By asking this question first, the nurse can assess the client's risk of harm and provide appropriate interventions if necessary.
Option A: "What has helped you through difficult times in the past?" - While this is a supportive question, it does not address the immediate concern of suicidal ideation.
Option B: "Has anyone in your family committed suicide?" - This question may be relevant but is not as urgent as directly asking about the client's current thoughts of ending their own life.
Option C: "Is there anyone you would like involved in your care?" - This question focuses more on the client's support system rather than addressing the potential risk of harm.
In summary, asking about suicidal thoughts first is crucial in ensuring the client's safety and well-being in this scenario.
Question 2 of 5
A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Correct answer: A
Rationale: A is the correct answer because a living will is indeed a document that includes an individual's wishes about health care decisions. It allows the individual to specify their preferences regarding medical treatment in case they become unable to communicate their desires. This demonstrates an understanding of advance directives.
Incorrect answers:
B is incorrect because advance directives do not give the provider the authority to make healthcare decisions for the individual.
C is incorrect because advance directives are not related to inheritance of material possessions.
D is incorrect because a partner being present as a witness when signing a living will is not a requirement for it to be valid.
Question 3 of 5
A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.
Correct Answer: B, A, C, D
Rationale: B: Activating the facility's fire alarm system is crucial to alert other staff members and ensure the safety of all individuals in the building. A: Transporting the client to another area is necessary to move them away from the fire hazard. C: Closing windows and doors helps contain the fire and prevent it from spreading. D: Using the fire extinguisher should only be done if it's safe to do so and if the nurse has been trained in its proper use.
Choices E, F, and G are incorrect as they do not prioritize the immediate safety of the client and others in the building.
Question 4 of 5
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Swelling of the face. At 14 weeks of gestation, facial swelling could indicate preeclampsia, a serious condition characterized by high blood pressure. This finding should be reported to the provider immediately for further evaluation and management to prevent complications.
Incorrect choices:
A: Bleeding gums - Common during pregnancy due to hormonal changes, usually not a significant concern.
B: Faintness upon rising - Could be related to postural hypotension, common in pregnancy but typically not urgent.
C: Urinary frequency - Normal in pregnancy due to increased blood flow to the kidneys, not typically a concerning issue at this stage.
Question 5 of 5
A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: C
Rationale: The correct answer is C: Keep a calorie count for foods and beverages. This intervention is crucial in supporting the client's nutritional requirements as it allows for accurate monitoring of calorie intake, ensuring the client receives adequate nutrition for wound healing and metabolic demands. Maintaining calorie intake at a specific amount (
A) may not be appropriate as the client's needs can vary depending on their condition. Providing a low-protein, high-carbohydrate diet (
B) may not meet the increased protein requirements for tissue repair. Scheduling meals at 6-hr intervals (
D) may not be sufficient for meeting the client's increased metabolic needs.