ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences?
Correct Answer: C
Rationale: The correct answer is C: Do you consume pork products? This question is important as pork is forbidden in Islam. By asking this, the nurse can understand the client's dietary restrictions based on her religious beliefs.
Choice A is incorrect as Holy Communion is a Christian practice.
Choice B is related to Judaism, not Islam.
Choice D is about blood transfusion, which is a different aspect of religious beliefs. Other choices are irrelevant to the client's religious preferences. In summary, the correct question about pork products directly addresses the client's religious dietary restrictions, making it the most appropriate choice.
Question 2 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.
Question 3 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important as it helps prevent infection and promotes healing. First, wash hands thoroughly.
Then, remove the old dressing, clean around the stoma with sterile saline, and apply a new sterile dressing. The other choices are incorrect because:
A) Operating the suction machine should only be done by healthcare professionals.
B) Securing the tracheostomy tube is essential but not the priority in this scenario.
C) Changing the tracheostomy tube daily is not recommended unless there is a specific reason to do so, as it can cause trauma to the stoma.
Question 4 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This position helps promote a safe swallowing mechanism by facilitating proper alignment of the head and neck. Sitting at or below the client's eye level minimizes the risk of aspiration and choking during feeding. In contrast, option A (lifting chin when swallowing) may increase the risk of aspiration in clients with dysphagia. Option B (talking during feeding) can lead to distractions and increase the risk of choking. Option D (discouraging coughing) is incorrect because coughing is a protective mechanism to clear the airway and should not be discouraged during feedings.
Question 5 of 5
A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client who was just given a glass of orange juice for a low blood glucose level first because hypoglycemia can lead to serious complications such as seizures or loss of consciousness. Assessing this client first allows the nurse to monitor for signs of worsening hypoglycemia and take prompt action if needed.
Choice A is incorrect because a client scheduled for a procedure in 1 hr can be assessed after ensuring the immediate safety of the client with low blood glucose.
Choice B is incorrect since a client who received pain medication 30 min ago for postoperative pain doesn't indicate an immediate life-threatening situation.
Choice D is incorrect as a client with 100 mL of fluid remaining in the IV bag can be monitored but doesn't require immediate attention compared to a client with low blood glucose levels.