ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Eye exams are generally recommended more frequently especially for older adults to monitor for age-related changes and conditions. Women should have a clinical breast examination every year in addition to mammograms as recommended by their healthcare provider. Both men and women should have a colonoscopy periodically depending on individual risk factors and age. Regular hearing screenings are important for older adults especially as age-related hearing loss may occur. Testicular self-exams are recommended for men to detect any abnormalities early on.
Question 2 of 5
A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?
Correct Answer: D
Rationale: Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care but determining the client's reading ability takes precedence as it will significantly impact communication options. Arranging a support session is important for emotional support but assessing the client's reading ability is more immediate in addressing communication needs. Demonstrating the use of esophageal speech is relevant but understanding the client's reading ability is a priority before exploring communication alternatives.
Question 3 of 5
A nurse is caring for a client who is unconscious. Which of the following actions is appropriate for the nurse to take when providing the client's oral care?
Correct Answer: B
Rationale: Testing for the gag reflex in an unconscious client may cause discomfort and is not necessary for oral care. Lubricating the lips with petroleum jelly helps prevent dryness and cracking maintaining comfort for the unconscious client. Placing the client in the supine position may increase the risk of aspiration during oral care. The head should be turned to the side (lateral position) to facilitate drainage. Using a firm toothbrush may cause injury to the gums and oral tissues. A soft toothbrush is more appropriate for oral care in unconscious clients.
Question 4 of 5
A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: Purulent drainage is characterized by the presence of pus indicating infection. Blood-tinged drainage does not necessarily indicate infection. Serous drainage is a clear watery fluid. Blood-tinged drainage has a reddish tinge and is not clear and watery. Sanguineous drainage is characterized by the presence of blood which may be bright red or old and brownish. Blood-tinged drainage falls under the sanguineous category.
Question 5 of 5
A home health nurse is teaching a client who has diabetes mellitus about proper home disposal of syringes. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal. Using a resealable bag may not provide sufficient protection and it may pose risks to individuals handling the trash. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.