ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.
Question 2 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: A
Rationale: The correct answer is A: A client who is ambulatory and receiving oxygen. This client should be evacuated first due to the risk of oxygen supporting combustion during a fire. Ambulatory clients can move independently, making evacuation quicker.
Choices B, C, and D have limitations that would slow down evacuation or increase risks during a fire.
Choice B has traction that requires careful handling,
Choice C may have impaired communication with the hearing aid, and
Choice D's confusion could hinder cooperation. Evacuating clients with these limitations first could delay the evacuation process or pose additional risks.
Question 3 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: B
Rationale: The correct answer is B: Assault. Assault is the act of threatening harm or making someone feel apprehensive about imminent harm. In this scenario, the AP's statement of using restraints to force-feed the client constitutes a threat of harm, which is considered assault. The nurse should intervene because this behavior is not acceptable in healthcare settings.
A: Battery involves actual physical harm, which has not occurred in this situation.
C: Negligence is the failure to provide proper care, not applicable here.
D: Malpractice involves professional negligence, not relevant in this context.
In summary, the other choices are incorrect because they do not accurately reflect the situation where the AP's statement constitutes a threat of harm, which aligns with the definition of assault.
Question 4 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.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum cult
Question 5 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Place a container for soiled linens inside the client's room. This is essential for infection control as it helps prevent the spread of pathogens. Soiled linens can harbor infectious organisms, so having a designated container inside the room reduces the risk of contamination to other areas. Option A is incorrect because an N95 mask is typically not required for standard isolation precautions. Option C is incorrect as negative airflow rooms are usually reserved for clients with airborne infections. Option D is incorrect because the mask should be removed inside the room to prevent contamination.