ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is important to prevent complications such as puncturing surrounding structures. Coughing can increase pressure in the thoracic cavity, making the procedure more difficult and increasing the risk of injury. Positioning the client on the affected side (
A) is not necessary and may not be comfortable for the client. Keeping the client NPO for 6 hr prior to the procedure (
C) is not typically required for a thoracentesis. Placing the client in the prone position (
D) during the procedure is incorrect as the procedure is usually performed with the client sitting upright or slightly leaning forward.
Question 2 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with a hip fracture and new onset of tachypnea first because tachypnea could indicate a potentially life-threatening condition such as a pulmonary embolism or hypoxia. Assessing this client first ensures prompt detection and intervention for any respiratory compromise. Clients with epidural analgesia and weakness in lower extremities (
A) may need assessment for neurovascular compromise but are not in immediate danger. Clients with sinus arrhythmia (
C) on cardiac monitoring and diabetes mellitus with HbA1C of 6.8% (
D) require monitoring and management but do not present an immediate threat to their health.
Question 3 of 5
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
Correct Answer: B
Rationale: The correct answer is B: Initiate a discussion with clients about ways to cope with changes in family dynamics. This is the most appropriate strategy for the nurse to use during the support group session because it focuses on helping clients cope with the aftermath of suicide within the family. By discussing coping strategies, clients can learn effective ways to navigate the changes in family dynamics that may occur following a suicide. This can help clients process their emotions, build resilience, and improve their overall well-being.
Rationale for other choices:
A: Encouraging clients to establish a timeline for their own grieving process may not be helpful as each individual's grieving process is unique and cannot be strictly outlined in a timeline.
C: Assisting clients in identifying ways suicide could have been prevented may not be beneficial as it can lead to feelings of guilt and blame among group members.
D: Discouraging clients from sharing negative aspects of their relationship with the deceased persons can hinder the healing process and prevent clients from expressing their true emotions
Question 4 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reassure the client that this is an expected response to grief. This response is appropriate because acknowledging and validating the client's feelings of anger is crucial in the grieving process. By reassuring the client that his anger is a normal part of coping with the diagnosis, the nurse can help the client feel understood and supported. This can also help build trust and rapport with the client.
Explanation for other choices:
A: Discussing risk factors may not be the most immediate or helpful response to the client's current emotional state.
B: Focusing on future management may not address the client's current emotional needs and could come across as dismissive of his feelings.
C: Providing information on loss and grief phases may be relevant but may not directly address the client's current expression of anger.
Overall, the focus should be on acknowledging and validating the client's feelings first.
Question 5 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C. "I should remove constrictive clothing prior to measuring my blood pressure."
Rationale: Removing constrictive clothing ensures accurate blood pressure readings by preventing interference with blood flow. Tight clothing can artificially elevate blood pressure readings. By removing constrictive clothing, the client allows for an accurate assessment of their blood pressure.
Choice A: Waiting 15 minutes after drinking coffee is not directly related to obtaining an accurate blood pressure reading. Caffeine intake can temporarily raise blood pressure, but waiting 15 minutes may not be sufficient to eliminate its effects.
Choice B: Measuring blood pressure with the arm elevated above the heart is not a recommended method for accurate readings. The arm should be supported at heart level for accurate measurements.
Choice D: Measuring blood pressure immediately after eating breakfast can lead to inaccurate readings. It is recommended to wait at least 30 minutes after consuming a meal before measuring blood pressure for accurate results.