ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Measure the length of the client's leg from the heel to the gluteal fold. This step ensures proper sizing of the antiembolic stockings to promote optimal circulation and prevent complications like deep vein thrombosis. Measuring from the heel to the gluteal fold helps in selecting the appropriate length that fits the client's leg correctly without being too tight or loose. This precise measurement ensures the stockings exert the right amount of pressure to enhance venous return. In contrast, option A does not directly relate to the application of the stockings, option C is incorrect as pointing toes may cause discomfort, and option D is incorrect as rolling down the stockings compromises their effectiveness.
Question 2 of 5
A nurse discovers an overlooked prescription for a type and crossmatch of a client who is scheduled for surgery. After notifying the laboratory, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Notify the operative team of the omission. This is the correct action because informing the operative team ensures that they are aware of the oversight and can take appropriate steps to address it, such as rescheduling the surgery if necessary. Option A is incorrect as incident reports are usually reserved for significant errors or adverse events. Option B is incorrect because canceling the surgery may not be necessary if the issue can be resolved promptly. Option D is incorrect because simply giving the client another consent form does not address the underlying issue of the missed type and crossmatch.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. An occupational therapist specializes in helping individuals regain the ability to perform daily activities, such as eating, after injuries like traumatic brain injury. They focus on improving fine motor skills, coordination, and adaptive techniques for using utensils. Physical therapists focus more on mobility and strength training, making them less suitable for this specific task. Speech-language pathologists address communication and swallowing issues, not utensil use. Social workers primarily provide support with emotional and social aspects, not the physical rehabilitation needed here.
Question 4 of 5
A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, 'I am looking forward to seeing my grandchildren grow up.' The nurse should identify that the client is experiencing which of the following stages of grief?
Correct Answer: A
Rationale: The correct answer is A: Denial. The client expressing excitement about seeing their grandchildren grow up despite being diagnosed with a terminal illness indicates denial, a common stage of grief where individuals refuse to accept the reality of their situation. The client's focus on future plans instead of addressing the terminal diagnosis signifies an attempt to avoid the emotional pain associated with the diagnosis.
Choices B, C, and D are incorrect as they represent different stages of grief. Anger involves feelings of resentment and frustration, bargaining involves seeking ways to prevent the inevitable, and acceptance involves coming to terms with the reality of the situation.
Question 5 of 5
A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E. Hypocalcemia results in low levels of calcium in the blood. A positive Trousseau's sign, muscle cramps, and tingling sensation around the lips are common manifestations due to neuromuscular irritability.
A negative Chvostek's sign is associated with hypocalcemia, not a positive one. Abdominal distention is not a typical finding in hypocalcemia.
In summary, the correct choices align with the typical signs and symptoms of hypocalcemia related to neuromuscular irritability, while the incorrect choices do not correlate with this condition.