ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: The correct answer is A: Metabolic syndrome. Metabolic syndrome is a cluster of conditions that increase the risk of cardiovascular disease, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors contribute to a higher likelihood of developing heart disease, stroke, and other cardiovascular issues.
Choice B, participation in competitive sports, does not inherently place a client at risk for cardiovascular disease; in fact, regular exercise is beneficial for heart health.
Choice C, family history of alcohol use disorder, may indicate a genetic predisposition to alcoholism but is not directly linked to cardiovascular disease risk.
Choice D, hypotension, is low blood pressure and is not typically associated with an increased risk of cardiovascular disease.
Question 2 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: The correct answer is C: Gloves. The nurse should remove gloves first after a dressing change to prevent contamination of other surfaces. Gloves are the primary barrier protecting the nurse from direct contact with bodily fluids. Removing gloves first helps minimize the risk of spreading pathogens. Removing eyewear, mask, or gown first could potentially expose the nurse to airborne pathogens or splash contamination. Removing the mask or gown first could also lead to contamination of the nurse's face or clothing. Removing gloves first ensures proper infection control practices are followed.
Question 3 of 5
A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I can give you the contact information for someone to assist you with recovering your password." This is the best option because it promotes confidentiality and adheres to ethical standards. It avoids sharing personal login information, which can breach security protocols and potentially result in disciplinary actions. By providing contact information for password recovery assistance, the nurse is directing the colleague towards the appropriate channels for resolving the issue. This approach upholds professionalism and accountability.
Other
Choices:
A: Seeing the supervisor for a temporary password may not be the most efficient or secure method for resolving a forgotten password issue.
B: Providing client information to the charge nurse for documentation is inappropriate and could compromise patient privacy.
D: Allowing another nurse to use one's own password is a violation of security policies and sets a risky precedent for future incidents.
Extract:
Medical History
2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
• Hct 37% (37% to 47%)
• Hgb 12 g/dL (12 to 16 g/dL)
• WBC count 12,000/mm3 (5,000 to 10,000/mm3)
• Prothrombin time 21 seconds (11 to 12.5 seconds)
Question 4 of 5
A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: The correct answer is B, C, D, and E. Hct level, Prothrombin time, WBC count, and Preoperative medication are crucial findings that require immediate follow-up. Hct level assesses blood volume, Prothrombin time evaluates blood clotting ability, WBC count indicates infection risk, and Preoperative medication ensures safety during surgery. Latex allergy (choice
A) is important but not immediate. History of weekly exercise (choice F) is not urgent.
Extract:
Question 5 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Recheck the client's BP in her other arm for comparison. This is the best course of action to confirm the accuracy of the initial BP reading. Taking the BP in both arms helps identify any discrepancies due to differences in blood pressure between arms or measurement errors. It also allows for better assessment of the client's overall blood pressure status.
Choice A is incorrect because the width of the BP cuff should be about 40% of the upper arm circumference, not 50%.
Choice C is inappropriate as waiting 30 minutes without immediate action can be risky if the high BP is indicative of a serious condition.
Choice D is unnecessary and may not provide additional information about the client's BP accuracy.