ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement at a consistent time, aiding in establishing a regular bowel routine for the client following a spinal cord injury. The suppository acts as a stimulant to facilitate bowel evacuation.
Choices A, B, and D are incorrect. A diet high in refined grains may lead to constipation due to lack of fiber. Providing a cold drink before defecation does not directly impact bowel training. Restricting fluid intake to 1,500 mL per day is not advisable as it may lead to dehydration and worsen constipation.
Question 2 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important as it helps prevent infection and promotes healing. First, wash hands thoroughly.
Then, remove the old dressing, clean around the stoma with sterile saline, and apply a new sterile dressing. The other choices are incorrect because:
A) Operating the suction machine should only be done by healthcare professionals.
B) Securing the tracheostomy tube is essential but not the priority in this scenario.
C) Changing the tracheostomy tube daily is not recommended unless there is a specific reason to do so, as it can cause trauma to the stoma.
Question 3 of 5
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement at a consistent time, aiding in establishing a regular bowel routine for the client following a spinal cord injury. The suppository acts as a stimulant to facilitate bowel evacuation.
Choices A, B, and D are incorrect. A diet high in refined grains may lead to constipation due to lack of fiber. Providing a cold drink before defecation does not directly impact bowel training. Restricting fluid intake to 1,500 mL per day is not advisable as it may lead to dehydration and worsen constipation.
Question 4 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Let's talk about how the change in your job status will affect you." This response acknowledges the client's concerns and opens up a dialogue about the potential impact of retirement. It shows empathy and understanding towards the client's feelings.
Choice A is incorrect because it assumes that the client's main concern is spending time with family, which may not be the case.
Choice B is incorrect as it suggests immediate solutions without exploring the client's thoughts further.
Choice D is incorrect as it dismisses the client's feelings and imposes the idea of relaxation, which may not align with the client's desires.
Question 5 of 5
A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Bounding pulses in the affected extremity. This finding could indicate arterial occlusion, a serious complication post-cardiac catheterization that requires immediate intervention to prevent tissue damage or loss of limb. Discomfort at the insertion site (
A) is expected and can be managed with analgesics. Heart rate of 90/min (
B) is within normal range. Hematoma over the insertion site (
D) is a common minor complication that may resolve on its own.