ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Correct Answer: D
Rationale: The correct answer is D: Present information about the benefits of quitting smoking. During the contemplation stage, clients are considering the pros and cons of changing their behavior. Providing information about the benefits of quitting smoking can help the client make an informed decision. This action aligns with motivational interviewing techniques, which focus on exploring and resolving ambivalence towards behavior change. Recommending small changes (
A) may be more suitable for the preparation stage. Setting goals (
B) and developing a plan (
C) are actions typically taken during the action stage when the client is ready to make a change.
Question 2 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place the extremity in a dependent position. Placing the extremity in a dependent position helps to engorge the veins, making them more visible and easier to access during IV catheter insertion. This position also promotes venous return and reduces the risk of infiltration.
Choice A is incorrect because the tourniquet should be placed above the proposed insertion site to occlude the veins and make them more prominent.
Choice B is incorrect because applying a cool compress would cause vasoconstriction, making it harder to locate and access the veins.
Choice D is incorrect because the most distal site should be chosen for IV catheter insertion to preserve more proximal sites for future use.
Question 3 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: "You will receive written information about advance directives prior to signing." This instruction is important because it ensures that the client has the necessary information to make an informed decision about advance directives. Providing written information allows the client to fully understand the purpose and implications of advance directives before signing them.
Choice A is incorrect because the provider does not need to sign the advance directives, it is the client's decision.
Choice B is incorrect as the presence of a partner is not mandatory for signing advance directives.
Choice D is incorrect as signing advance directives is a personal choice and not a requirement before surgery.
Question 4 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Keep the drainage bag below the level of the bladder. This is important to prevent backflow of urine into the bladder, reducing the risk of urinary tract infections. Placing the drainage bag below the level of the bladder ensures a continuous flow of urine out of the bladder and into the bag. Option B is incorrect as attaching the drainage bag to the side rails can cause tension on the catheter, leading to displacement or obstruction. Option C is incorrect as the drainage bag should be emptied when it is half-full to prevent backflow or infection. Option D is incorrect as taping the catheter to the lower abdomen can cause tension and discomfort.
Question 5 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. Assigning the task of assisting with ambulation for a client who has a pulmonary infection to an assistive personnel is appropriate because it is a routine activity that does not require specialized nursing knowledge or skills. Ambulation is a basic care task that can be safely performed by assistive personnel under the supervision of a nurse. It helps promote mobility and prevent complications in clients with pulmonary infections.
Choices A, B, and C involve more complex and skilled nursing interventions that require assessment, critical thinking, and nursing judgment. Inserting a suppository, teaching how to use an incentive spirometer, and irrigating a wound all require specialized nursing knowledge and skills.
Therefore, they should not be assigned to assistive personnel.
In summary, assigning tasks that are routine and do not require nursing judgment to assistive personnel helps optimize nursing resources and promote safe and efficient care delivery.