ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: The correct answer is C. Negligence occurs when a nurse fails to adhere to the standard of care, resulting in harm to the client. Administering medication without identifying the client violates the standard protocol, risking patient safety. Option A relates to lack of informed consent, not negligence. Option B involves restraint, not negligence. Option D pertains to confidentiality breach, not negligence. Thus, option C best exemplifies negligence in client care.
Question 2 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: B
Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Walking is a weight-bearing exercise that helps strengthen bones and prevent osteoporosis. Weight-bearing exercises help maintain bone density and reduce the risk of fractures. Walking for 30 minutes, three to five times a week, is a recommended guideline for osteoporosis prevention.
Choice A is incorrect because maintaining lean body mass alone may not be sufficient to prevent osteoporosis.
Choice C is incorrect because increasing vitamin B12 intake does not directly impact bone health.
Choice D is incorrect because while water aerobics can be beneficial for overall fitness, it may not be as effective in preventing osteoporosis as weight-bearing exercises like walking.
Question 3 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps determine if there is a conductive or sensorineural hearing loss. Placing the tuning fork on the forehead allows the sound to be conducted through bone to both cochleae simultaneously. If the client hears the sound equally in both ears, it suggests normal hearing or symmetrical hearing loss. If the client hears the sound louder in one ear, it indicates conductive hearing loss in that ear.
Choice A is incorrect because random high-pitched sounds do not specifically test for conductive vs. sensorineural hearing loss.
Choice C is incorrect because the tuning fork should be placed on the forehead, not the mastoid process, for the Weber's test.
Choice D is incorrect as whispering words does not test for conductive vs. sensorineural hearing loss.
Question 4 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: The correct answer is D: Three-point gait. This gait is suitable for a client who can only bear weight on one leg. In a three-point gait, the client advances both crutches and the affected leg together followed by the unaffected leg. This maintains stability and minimizes weight-bearing on the affected leg. The other choices are incorrect because:
A: Two-point alternating gait requires partial weight-bearing on both legs.
B: Four-point alternating gait involves slow and stable movement, not ideal for a client with weight-bearing restrictions on one leg.
C: Swing-through gait involves both legs swinging through, which is not suitable for a client with weight-bearing restrictions on one leg.
Question 5 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B: Have you thought about harming yourself?
Rationale: This response is crucial as it directly addresses the client's statement about wanting to die. It shows the nurse's concern for the client's safety and well-being. By asking about potential self-harm, the nurse can assess the client's level of risk and take appropriate actions to ensure their safety.
Incorrect
Choices:
A: You should discuss these feelings with your provider.
- This response delays addressing the immediate risk of self-harm and may not provide the necessary support in a critical moment.
C: Why did you stop taking your medication?
- While important, this question is not as urgent as assessing the client's immediate safety regarding self-harm.
D: Tell me more about your partner.
- While understanding the client's emotions is important, this response does not address the immediate risk of self-harm and may not prioritize the client's safety.