ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: The correct answer is A because providing oxygen through a tube in the nose is a non-invasive and supportive measure to help the patient breathe easier. It aligns with the patient's wishes to decline resuscitation and focuses on comfort care.
Choice B is incorrect because a living will allows patients to change their wishes at any time.
Choice C is incorrect as inserting a breathing tube may not align with the patient's wishes for comfort-focused care.
Choice D is incorrect as consulting the appointed person should only be done if the patient is unable to make decisions themselves.
Question 2 of 5
The client is experiencing symptoms of itching and anxiety, and presents with a flushed face and hives. Complete the following sentence: 'The client's condition is indicative of _.'.
Correct Answer: A
Rationale: The correct answer is A: An allergic reaction. The symptoms described - itching, anxiety, flushed face, and hives - are classic signs of an allergic reaction. Itching and hives suggest a skin reaction, while anxiety can be a psychological response to the physical symptoms. Flushed face may indicate a systemic response. The presence of these symptoms together points towards an immune response triggered by an allergen.
Choices B, C, and D are incorrect as they do not align with the symptoms presented.
Choice B mentions side effects of a procedure, which would not typically cause these specific symptoms.
Choice C, anxiety disorder, does not explain the physical symptoms like itching and hives.
Choice D, hypersensitivity to IV gauge material, could be a potential cause, but the broader symptoms described are more indicative of an allergic reaction.
Extract:
A client expresses anger when the nurse does not respond within 5 minutes of ringing for the nurse.
Question 3 of 5
Which response by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and focuses on the patient's feelings first. By acknowledging the patient's frustration and offering assistance, the nurse shows understanding and compassion.
Choice A lacks empathy and could be perceived as defensive.
Choice B shifts the focus away from the patient's needs and towards the nurse's priorities.
Choices D, E, F, and G are not provided, so they cannot be evaluated. In summary, choice C is the most appropriate response as it prioritizes the patient's emotions and needs.
Extract:
Question 4 of 5
A nurse is instructing a client whose left leg is in a cast on how to use crutches. Which statement from the client indicates they have understood the instructions?
Correct Answer: B
Rationale: The correct answer is B because placing crutches 12 inches in front and to the side of each foot provides the client with a wider base of support, ensuring stability and preventing falls. This position also allows for proper weight distribution and reduces strain on the arms and shoulders.
Choice A is incorrect because shifting weight to the right leg while descending stairs can lead to imbalance.
Choice C is incorrect as holding one crutch in each hand while sitting down is not a safe or effective technique for using crutches.
Choice D is incorrect because ensuring the shoulder rests are snug against the body may not necessarily indicate proper crutch use.
Question 5 of 5
In which situation does the nurse demonstrate the ethical principle of veracity?
Correct Answer: D
Rationale: The correct answer is D because the nurse is demonstrating the ethical principle of veracity, which refers to being truthful and honest. In this situation, the nurse responds affirmatively when the client asks if they have cancer, which aligns with the principle of veracity by providing the client with accurate information. This helps the client make informed decisions about their care.
Choice A is incorrect because complying with the client's wishes may not necessarily align with the principle of veracity if the nurse is aware of potential harm to the client by refusing the nasogastric tube.
Choice B is incorrect as not performing CPR despite a DNR order and family requests may be appropriate and align with respecting the client's autonomy, but it does not directly relate to the principle of veracity.
Choice C is incorrect as providing pain medication as promised is related to fidelity (keeping promises) rather than veracity.
In summary, the correct answer is D because it directly involves being truthful and honest with the client, while the