ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is planning an educational program for older adult clients. Which of the following techniques should the nurse use when teaching?
Correct Answer: B
Rationale: The correct answer is B: Provide an environment with minimal distractions. Older adults may have difficulty focusing with distractions, so a quiet environment is key for effective learning. This helps them concentrate and process information better. Limiting the session to 1 hour (
A) may not be sufficient or necessary, as some older adults can handle longer sessions. Presenting information at a 10th-grade reading level (
C) may be too complex for some older adults, who may benefit from simpler language. Using brightly colored paper (
D) may not enhance learning and could even be distracting.
Question 2 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hour ago. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Apply an ice pack to the client's back for 1 hour. Ice therapy can help reduce inflammation and numb the area, providing pain relief. The cold temperature constricts blood vessels, decreasing blood flow to the area, which can help reduce pain sensation. It is particularly beneficial for acute pain or injury. In this case, the client has already received analgesia, so using ice therapy can complement the pain relief provided by the medication.
A: Instructing the client to take deep, rhythmic breaths may help with relaxation but may not directly address the pain.
B: Applying a heating pad can be useful for muscle relaxation, but heat therapy is typically recommended for chronic pain or muscle stiffness, not acute pain.
D: Removing distractions can help with relaxation but may not directly address the pain.
Therefore, the most appropriate action to address the mild back pain in this scenario is applying an ice pack.
Question 3 of 5
During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is D: Obtain the client's type and cross-match. This is the priority because ensuring that the client has the necessary blood products available for surgery is crucial for their safety. By obtaining the type and cross-match promptly, the nurse can address the oversight and prevent any potential harm to the client during the surgery.
Informing the provider (
A) can be done after obtaining the type and cross-match to update them on the situation. Documenting the incident (
B) in the client's medical record is important but should not take precedence over ensuring the client's safety. Similarly, preparing an incident report (
C) for risk management is important for quality improvement but can be done after addressing the immediate issue.
Question 4 of 5
A nurse is caring for a client who has an NG tube set to low-intermittent suction for gastric decompression. The nurse observes that the NG tube is not draining. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Inject 10 mL of air into the vent lumen. Injecting air into the vent lumen can help to clear any blockage in the NG tube and facilitate drainage. This action creates pressure within the tube, potentially dislodging any obstruction. Lowering the head of the client's bed to 15 degrees (
Choice
A) may help prevent aspiration but will not address the issue of the tube not draining. Placing the NG tube to high suction (
Choice
C) can be harmful and is not indicated for gastric decompression. Connecting the air vent to the suction (
Choice
D) would not resolve the drainage issue and can interfere with the functioning of the NG tube.
Question 5 of 5
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,E
Rationale:
Correct
Answer: A, E
Rationale:
A: Cutting the opening of the pouch 1/8 inch larger than the stoma prevents irritation and ensures a proper fit.
E: Emptying the pouch when it's one-third full prevents leakage and skin irritation.
Incorrect
Choices:
B: Placing gauze over the stoma can introduce fibers and cause irritation.
C: A purple-blue stoma color may indicate reduced blood flow, not healing.
D: Povidone-iodine can be irritating; mild soap and water are recommended.