ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to enhance communication? (Select All that Apply.)
Correct Answer: A,B,C,D
Rationale: Convey empathy for a client who voices painful emotions: Demonstrating empathy is essential. Show respect for a client who is making decisions about treatment: Respecting autonomy is vital. Exhibit receptive body language when discussing difficult topics: Nonverbal communication is significant. Speak to a client using clear and simple words and phrases: Clear language facilitates understanding.
Question 2 of 5
The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?
Correct Answer: D
Rationale: Persons entering my room should perform hand hygiene before entering: This statement accurately reflects an understanding of the precautions needed in reverse isolation. Hand hygiene is critical in preventing the introduction of pathogens.
Question 3 of 5
The nurse is notifying the HCP of the client's change in status using the SBAR format. In which order should the nurse place the statements? 1. 'I suggest that the client be transferred to the critical care unit, and I would like you to come evaluate the client.' 2. 'The client is deteriorating, and I'm afraid the client is going to arrest.' 3. 'I am calling about (client name and location). Vital signs are BP=100/50, P=120, RR=30, T=100.4°F (38°C).' 4. 'The client is becoming confused and agitated. The skin is pale, mottled, and diaphoretic. The client is very dyspneic with an oxygen saturation of 85% despite placing a nonrebreather mask.'
Correct Answer: A
Rationale: In SBAR format, the order is: Situation (2), Background (4), Assessment (3), and Recommendation (1). This statement provides a clear and urgent indication of the client's current status, emphasizing the severity of the situation and the immediate concern for potential cardiac arrest. The nurse’s choice of language conveys a sense of urgency that is crucial for the HCP to understand the need for prompt action.
Question 4 of 5
A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Obtain the provider's prescription renewal every 72 hr.: This is an essential intervention. Document restraint checks and client status every 2 hr.: Regular documentation is vital. Implement passive range-of-motion exercises: Important for preventing joint stiffness. Educate the client's family about restraint use: Provides transparency and support.
Question 5 of 5
A nurse is presenting to a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?
Correct Answer: D
Rationale: It is a good idea to use the handrails in the bathroom: Handrails provide stability and support when navigating potentially slippery areas, such as bathrooms, and can significantly reduce the risk of falls.