ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Insert the catheter at a 45-degree angle. When inserting a peripheral IV catheter for an older adult client, the nurse should aim to insert the catheter at a 45-degree angle to reduce the risk of complications such as infiltration. Inserting at this angle helps to ensure proper placement in the vein and reduces the likelihood of the catheter slipping out or causing discomfort to the client. Placing the client's arm in a dependent position (
B) is not necessary and could potentially cause unnecessary discomfort. Shaving excess hair from the insertion site (
C) is not recommended as it can irritate the skin and increase the risk of infection. Initiating IV therapy in the veins of the hand (
D) may not be the best choice for an older adult client due to potential fragility of hand veins and difficulty with vein accessibility.
Question 2 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: "Is your pain sharp or dull?" This question helps the nurse determine the characteristic of the pain, which is crucial in identifying the underlying cause. Sharp pain is often associated with acute conditions like nerve irritation, whereas dull pain may indicate musculoskeletal issues.
Choices A, B, and C are important in pain assessment but do not specifically address the quality of pain. Asking about pain intensity (choice
B) or radiation (choice
C) can provide valuable information but do not directly address whether the pain is sharp or dull.
Therefore, option D is the most appropriate for assessing the quality of the client's pain in this scenario.
Question 3 of 5
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?
Correct Answer: C
Rationale: The correct answer is C: Decrease in heart rate. Administering 0.9% sodium chloride would help rehydrate the client, leading to an increase in blood volume and improved cardiac output. As a result, the heart doesn't have to work as hard, leading to a decrease in heart rate, indicating successful treatment.
Incorrect choices:
A: Increase in hematocrit - This would indicate dehydration, not successful treatment.
B: Increase in respiratory rate - This could be a sign of respiratory distress, not related to fluid volume correction.
D: Decrease in capillary refill time - This could indicate improved peripheral circulation, but not a direct indicator of successful fluid resuscitation.
Question 4 of 5
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
Correct Answer: D
Rationale:
Correct
Answer: D: The client holds the cane on the stronger side of her body.
Rationale:
1. Holding the cane on the stronger side provides better stability and support.
2. This position allows the client to shift weight onto the cane during walking.
3. It helps to reduce pressure on the weaker side, promoting balance and preventing falls.
Incorrect
Choices:
A: The top of the cane parallel to the client's wrist is not directly related to correct use.
B: Walking is a general action, not specific to correct cane use.
C: Specific measurements of cane movement are not essential for correct use.
E: Moving the stronger limb forward with the cane does not ensure proper use.
Question 5 of 5
A nurse is caring for a client who has a terminal illness, and the client's partner indicates effective coping. The nurse should recognize that which of the following statements is an indication of effective coping?
Correct Answer: B
Rationale: The correct answer is B: "I am relying on support from our family during this time." This statement indicates effective coping because it acknowledges the importance of seeking and utilizing support from family members, which can help reduce feelings of isolation and provide emotional strength. By relying on family support, the client's partner is demonstrating a healthy coping mechanism that promotes resilience and emotional well-being during a challenging situation.
Choice A is incorrect because relying solely on hope without acknowledging the need for support may not address the partner's emotional needs effectively.
Choice C is incorrect as it demonstrates denial of the terminal illness and avoidance of the current reality.
Choice D is incorrect as it suggests avoidance of discussing important end-of-life decisions, which can hinder effective coping and planning.