ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A - We would consult the person appointed by your health care proxy to make decisions.
Rationale: In this situation, the client has a living will indicating a preference to decline resuscitation. By consulting the health care proxy appointed by the client, the healthcare team ensures that the client's wishes are respected and appropriate decisions are made in line with the client's preferences. This approach upholds the client's autonomy and ensures that their end-of-life care is managed according to their expressed desires.
Incorrect
Choices:
B: We would give you oxygen through a tube in your nose. - This response does not address the client's specific question about the living will and resuscitation preferences.
C: You would be unable to change your previous wishes about your care. - This response is not accurate as clients have the right to modify their living will and advance directives.
D: We would insert a breathing tube while we evaluate your condition. - This response does not acknowledge the client's wishes regarding res
Question 2 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
Question 3 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A: Insert the catheter at a 45-degree angle.
Rationale: Inserting the catheter at a 45-degree angle is appropriate for older adults as their skin may be more fragile, reducing the risk of tissue damage. This angle also helps in successful IV insertion by facilitating cannulation of the vein.
Summary of other choices:
B: Placing the client's arm in a dependent position does not directly impact the IV catheter insertion process.
C: Shaving excess hair is unnecessary and may increase the risk of skin irritation and infection.
D: Initiating IV therapy in the veins of the hand is not specific to the insertion technique and does not address the angle of insertion.
Question 4 of 5
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
Correct Answer: C
Rationale: The correct answer is C: Role overload. This is because the partner is feeling overwhelmed with managing household responsibilities alongside caring for their partner with dementia, indicating an excessive amount of roles to fulfill. Role overload occurs when an individual is faced with too many responsibilities and not enough time or resources to fulfill them all effectively.
A: Role ambiguity refers to uncertainty about one's responsibilities or expectations in a role, which is not the case in this scenario.
B: Sick role is when an individual takes on the identity of being sick and may rely on others for help, which does not align with the partner's situation.
D: Role conflict is when there are conflicting demands between different roles, which is not the primary issue here.
In summary, the partner is experiencing role overload because they are struggling to balance multiple responsibilities, leading to feelings of frustration and stress.
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Pad the client's wrist before applying the restraints. This is crucial to prevent skin breakdown and ensure the client's comfort. Padding helps distribute pressure and reduces the risk of injury. Option B is incorrect because evaluating circulation every 8 hours is not frequent enough to monitor for potential complications. Option C is incorrect as restraints should be removed every 2 hours, not every 4 hours, to assess the client's status. Option D is incorrect because securing restraint ties to the bed's side rails is unsafe and can lead to injury. It is important to prioritize client safety and comfort when using restraints.