ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is planning to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Evaluating the client's ability to help with repositioning is crucial for maintaining their independence and preventing complications such as pressure ulcers. It ensures the client's safety and dignity while promoting autonomy in their care. By assessing the client's ability, the nurse can determine the level of assistance needed and tailor the repositioning technique accordingly.
Summary of other choices:
B: Repositioning the client without assistive devices may not be safe or appropriate, especially for a stroke client who may require specific positioning aids for proper alignment.
C: Raising side rails during repositioning is important for safety but does not directly address the client's ability to assist with repositioning.
D: Discussing the client's preferences for a repositioning schedule is important but does not address the immediate need to evaluate their ability to assist with repositioning.
Question 2 of 5
A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and comfort. Sitting also conveys a sense of attentiveness and empathy, which can help the client feel more at ease and open up during the health history assessment. Standing at the side of the bed (
B) may create a sense of imbalance or distance. Sitting on the bed (
C) can invade the client's personal space and may not be professional. Standing at the foot of the bed (
D) can be intimidating and lacks a sense of closeness and connection.
Question 3 of 5
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Provide humidification of the room air. Xerostomia, or dry mouth, is a common side effect of radiation therapy. Humidifying the room air can help alleviate dryness by increasing moisture. Option A is incorrect because alcohol-based mouthwash can further dry out the mouth. Option C is incorrect as saltine crackers can exacerbate dryness. Option D is unrelated as it pertains to speech, not xerostomia.
Question 4 of 5
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct assessments for identifying an older adult client's safety needs are B, C, D, and E. Pupil clarity is important to assess for any visual impairments that may affect balance and mobility. The appearance of bulbar conjunctivae can indicate any eye conditions that might increase fall risk. Evaluating visual fields can detect peripheral vision issues that can impact navigation and safety. Lastly, assessing visual acuity is crucial to determine the client's ability to see clearly and avoid obstacles.
Choices A and F are irrelevant to assessing fall risk in older adults.
Choice G is not provided.
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: The correct answer is C: "I should remove constrictive clothing prior to measuring my blood pressure." This statement demonstrates an understanding of the importance of ensuring accurate blood pressure readings. Tight clothing can affect blood flow and give false readings. Removing constrictive clothing allows for accurate measurements.
Choice A is incorrect because waiting after drinking coffee does not directly impact blood pressure measurement accuracy.
Choice B is incorrect because measuring blood pressure with the arm elevated above the heart can also affect the accuracy of the reading.
Choice D is incorrect because measuring blood pressure immediately after eating can also give inaccurate results due to the digestive process affecting blood pressure.