ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Use trochanter rolls beside the client's legs. Trochanter rolls help maintain proper alignment of the hips and prevent external rotation of the legs, reducing the risk of pressure ulcers and hip dislocation. Logrolling (choice
A) is not necessary unless specifically indicated for spinal precautions. Placing the client's arms at their side (choice
C) may restrict circulation and lead to discomfort. Crossing the client's ankles (choice
D) could cause pressure ulcers and impair circulation.
Question 2 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: Pudding. Progressing from a clear liquid to full liquid diet involves introducing foods that are easy to digest and gentle on the stomach. Pudding is a suitable choice as it is smooth, easily swallowed, and does not contain any solid pieces that could cause discomfort. Cooked vegetables (choice
A) may be too rough and fibrous for someone transitioning to a full liquid diet. Bananas (choice
B) are soft but may be too solid for a full liquid diet. Yogurt with fruit (choice
D) contains solid pieces that may not be appropriate for this stage.
Question 3 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: The correct answer is C. Negligence occurs when a nurse fails to adhere to the standard of care, resulting in harm to the client. Administering medication without identifying the client violates the standard protocol, risking patient safety. Option A relates to lack of informed consent, not negligence. Option B involves restraint, not negligence. Option D pertains to confidentiality breach, not negligence. Thus, option C best exemplifies negligence in client care.
Question 4 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent choking or aspiration. Giving medications one at a time ensures the client can swallow each pill safely.
A: Assisting the client into semi-Fowler's position is generally beneficial for swallowing but is not directly related to medication administration for dysphagia.
B: Giving medications between meals may not be ideal for a client with dysphagia as they may need to take medications with food to avoid stomach upset.
C: Encouraging the use of a straw can increase the risk of aspiration for clients with dysphagia due to the potential for liquid to enter the airway.
E, F, G: Irrelevant options.
Question 5 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Help the client lie on the floor. This is the first action to take during a seizure to prevent injury. By lowering the client to the floor, the risk of falling and hitting objects is minimized, ensuring safety. Turning the client onto their side (choice
A) can be done after they are on the floor to prevent aspiration. Loosening clothing (choice
C) and moving items away (choice
D) are important but secondary to ensuring the client is on the ground.