ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.
Question 2 of 5
A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Choose a vein that is palpable and straight. This is the most appropriate action because selecting a vein that is palpable and straight makes it easier to successfully insert the IV catheter. A vein that is easily felt and not tortuous minimizes the risk of complications such as infiltration or phlebitis. Elevating the client's arm (
B) can help engorge the veins but is not as crucial as selecting the right vein. Applying a tourniquet (
C) is standard practice but doesn't ensure a successful insertion. Selecting a site on the dominant arm (
D) is not necessary; the non-dominant arm is often preferred to minimize interference with daily activities.
Question 3 of 5
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the case manager's commitment to assisting the client in making informed decisions about alternative therapies. By offering to review information and help select a safe alternative practitioner, the case manager is showing support and guidance.
Choice B is incorrect because it assumes the provider will automatically inform the client about therapies, which may not always be the case.
Choice C is incorrect as it implies that any therapy aligned with the client's belief system is suitable, which may not always be safe or effective.
Choice D is incorrect as online support groups may not provide reliable information on alternative remedies.
Question 4 of 5
A nurse is reinforcing teaching with a client who has insomnia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Limiting daily naps to 45 minutes can help improve nighttime sleep by reducing the drive to sleep during the day, promoting better sleep efficiency. This indicates an understanding of good sleep hygiene practices.
Summary of Incorrect
Choices:
A: Turning on the ceiling fan might help with white noise, but it does not address the underlying issue of insomnia.
C: Green tea contains caffeine, which can actually interfere with sleep and worsen insomnia.
D: Getting out of bed if unable to fall asleep within an hour can reinforce negative sleep associations and disrupt sleep patterns.
Question 5 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Speak directly to the client. This is important because even though an interpreter is present, the nurse should address the client directly to establish a connection and ensure clear communication. Speaking directly to the client maintains respect and helps build trust. The other choices are incorrect because:
A) Speaking slowly to the interpreter may cause confusion and delays in communication.
B) Pausing in the middle of sentences can disrupt the flow of conversation and hinder understanding.
D) Using gestures alone may lead to misunderstandings or misinterpretations. It is crucial to prioritize direct communication with the client to ensure effective and respectful interaction.