ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because sputum specimens for tuberculosis testing should be collected in the morning upon waking up. This is because sputum is most concentrated in the morning, making it easier to detect tuberculosis bacilli. Waiting 1 day for the specimen (choice
A) can delay treatment. Wearing sterile gloves (choice
B) is important for infection control but not specifically for sputum collection. Asking for 15 to 20 mL of sputum (choice
C) is appropriate, but the timing of collection is crucial.
Question 2 of 5
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, 'Providing constant care is very stressful and is affecting all areas of my life.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the caregiver to arrange for a daycare program for the client. This option addresses the caregiver's concerns by providing respite care and support for the client, allowing the caregiver time to attend to other aspects of their life. This can help reduce caregiver stress and prevent burnout.
A: Suggesting antipsychotic medication is not appropriate for addressing the caregiver's stress and can have potential risks for the client.
B: Allowing the client time alone does not address the caregiver's need for support and respite.
C: Discussing communication methods may help manage behaviors but does not directly address the caregiver's stress.
E, F, G: No information provided.
In summary, option D is the most appropriate as it directly supports the caregiver's well-being while ensuring the client's needs are met.
Question 3 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 4 of 5
A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Safety: The client with a prescription for compression stockings needs them for circulation and to prevent complications. Not receiving them could lead to health risks.
2. Nursing responsibility: The nurse is accountable for ensuring that prescribed treatments are provided, making it crucial for the AP to report this issue.
3. Collaboration: By reporting to the nurse, the AP allows for timely intervention to address the missed prescription, promoting client safety and well-being.
Summary of other choices:
A: Requesting assistance with the commode is a routine task that the AP can handle independently.
C: Sitting in a chair does not pose a significant risk or indicate a change in condition requiring immediate attention.
D: Consuming all food is a positive sign of appetite and does not warrant immediate reporting unless there are dietary restrictions or concerns documented.
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about medication administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Inform clients about the action of each medication prior to administration. This is essential to ensure informed consent, promote patient autonomy, and enhance medication adherence. Educating clients about their medications allows them to understand why they are taking them and what to expect. This fosters a collaborative patient-provider relationship and empowers clients to actively participate in their care.
Choices A, B, and D are important aspects of medication administration but do not directly involve educating clients about the medication's actions. Avoiding preparing medications for more than two clients at a time (
A) is important for accuracy and safety, completing an incident report for vomiting after medication (
B) is crucial for documentation and follow-up, and reading medication labels twice before administration (
D) is necessary for verification and error prevention. However, these choices do not address the educational aspect of informing clients about their medications.