ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: The correct answer is C: A mole with an asymmetrical appearance. The nurse should identify this as a potential indication of skin malignancy because asymmetry is a key characteristic of melanoma, a type of skin cancer. In melanoma, one half of the mole does not match the other half. Other choices are incorrect because: A: A lesion with uniform pigmentation is less likely to be malignant as skin cancer lesions often have irregular borders and uneven colors. B: Petechiae are tiny red or purple spots on the skin caused by bleeding under the skin and are not typically associated with skin cancer. D: The presence of a papule alone is not specific to skin cancer and could be indicative of various skin conditions.
Question 2 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C because providing the client with written information about the phases of loss and grief acknowledges and validates the client's feelings of anger, helping him understand that it is a normal part of coping with a cancer diagnosis. This action supports the client emotionally and educates him on the grieving process, enabling him to navigate his emotions more effectively.
Choice A is incorrect because discussing risk factors may not address the client's immediate emotional needs.
Choice B is incorrect as focusing on future management may disregard the client's current emotional state.
Choice D is incorrect as simply reassuring the client may not address the underlying emotions causing the anger.
Question 3 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 4 of 5
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Lock the remaining medication in the controlled substances cabinet. This is important because opioids are controlled substances and must be securely stored to prevent diversion or misuse. By locking the remaining medication in the controlled substances cabinet, the nurse ensures that only authorized personnel have access to it, maintaining safety and compliance.
Other choices are incorrect:
A: Asking another nurse to observe the medication wastage is not necessary in this situation as the issue is about proper storage, not administration.
B: Notifying the pharmacy when wasting the medication is not relevant here as the focus should be on proper disposal and storage.
D: Disposing of the vial with the remaining medication in a sharps container is incorrect as controlled substances should be handled and stored appropriately, not simply disposed of in a sharps container.
Extract:
Nurses' Notes O Measure the clents intake and output,
1000; O Transfer the client from wheelchar o bed. Client states, *| am unable to eat anything without vomiting." Client reports pain in left upper quadrant of abdomen that radiates to their back. States that painisa"7" 0na 01010 pain L] Colect datasbout the clents pain evel. scale. Bruising noted on client's abdomen. Client is pale and diaphoretic. Provider prescribed blood work, abdominal CT, and NG tube insertion with low-intermittent decompression. IV fuids started and infusing in lefc peripheral IV site
Question 5 of 5
A nurse is caring for a client who has pancreatitis. Select the 3 tasks the nurse should delegate to an assistive personnel (AP). First Clinic Visit: Client arrives to clinic with report of increasing shortness of breath, fatigue, and weakness. States they get short of breath with minimal activity. Client is alert and oriented to person, place, and time. Moves all extremities well, follows simple commands. Sinus tachycardia, Pulses to lower extremities weak with +2 dependent edema present, Slightly labored respirations at rest. Chest with wheezes and crackles in the bases. Reports productive cough, especially during the overnight hours. Bowel sounds all present. Abdomen distended. Reports bowel movement this am. States voiding without difficulty, clear yellow urine. Teaching provided on nutrition therapy and adhering to a low-sodium diet, monitoring fluid intake, and lifestyle changes for heart failure. Provided medication teaching following provider's increase in furosemide dosage from.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Documenting vital signs is within the scope of practice for an assistive personnel (AP) and helps monitor the client's condition.
B: Measuring intake and output is a task that can be delegated to an AP and is essential for assessing fluid balance.
C: Transferring the client from wheelchair to bed is a task that an AP can safely perform to assist with the client's mobility.
Incorrect
Choices:
D: Inserting an NG tube requires specialized training and is a nursing task that should not be delegated to an AP.
E:
F:
G:
Summary: The correct tasks delegated to an AP involve activities that are within their scope of practice and do not require specialized nursing skills. Tasks like measuring vital signs, intake and output, and assisting with transfers are appropriate for delegation to an AP, while tasks like inserting an NG tube should be performed by a nurse.