ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is performing postmortem care for a recently deceased client prior to the client's family viewing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Hold the client's eyes shut for a few seconds. This action is appropriate during postmortem care to provide a peaceful appearance for the family viewing. By gently closing the deceased client's eyes, the nurse can create a more natural and serene expression, helping the family to remember their loved one in a dignified manner. It is essential to maintain the client's dignity and respect during this sensitive process.
Crossing the client's arms across their chest (
A) is a common misconception but not necessary for postmortem care. Placing the client in a high-Fowler's position (
C) is not appropriate as it is used for living clients for respiratory support. Removing the client's dentures (
D) should not be done unless requested by the family or healthcare provider.
Question 2 of 5
A nurse is planning to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Evaluating the client's ability to help with repositioning is crucial for maintaining their independence and preventing complications such as pressure ulcers. It ensures the client's safety and dignity while promoting autonomy in their care. By assessing the client's ability, the nurse can determine the level of assistance needed and tailor the repositioning technique accordingly.
Summary of other choices:
B: Repositioning the client without assistive devices may not be safe or appropriate, especially for a stroke client who may require specific positioning aids for proper alignment.
C: Raising side rails during repositioning is important for safety but does not directly address the client's ability to assist with repositioning.
D: Discussing the client's preferences for a repositioning schedule is important but does not address the immediate need to evaluate their ability to assist with repositioning.
Question 3 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This is important in diabetes foot care to prevent moisture accumulation, reduce the risk of infections, and promote proper circulation. Soaking feet too often can lead to dry skin and potential skin breakdown. Rounding toenails can cause ingrown toenails. Using lotion between toes can create a moist environment, increasing the risk of fungal infections.
Therefore, the correct choice is D as it promotes good foot hygiene and reduces the risk of complications for patients with diabetes.
Question 4 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: "It might help me to listen to music while trying to sleep." This answer indicates that the client understands non-pharmacological pain management strategies taught preoperatively. Music can distract from pain, promote relaxation, and improve sleep quality. Option A suggests misinterpreting the need for more frequent pain medication. Option B distracts from pain temporarily but does not address long-term management. Option D indicates avoidance behavior, which is not a constructive approach to pain management.
Question 5 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is important to prevent complications such as puncturing surrounding structures. Coughing can increase pressure in the thoracic cavity, making the procedure more difficult and increasing the risk of injury. Positioning the client on the affected side (
A) is not necessary and may not be comfortable for the client. Keeping the client NPO for 6 hr prior to the procedure (
C) is not typically required for a thoracentesis. Placing the client in the prone position (
D) during the procedure is incorrect as the procedure is usually performed with the client sitting upright or slightly leaning forward.