ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 2 of 5
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This technique is essential for obtaining an accurate blood pressure measurement. Placing the cuff around only 50% of the arm circumference ensures the appropriate pressure on the brachial artery, leading to an accurate reading. If the cuff is too small, the reading will be falsely elevated, and if it's too large, the reading will be falsely low. This step is crucial in preventing errors in blood pressure assessment.
Choice A is incorrect as the FLACC pain rating scale is used for assessing pain in nonverbal patients, not for physical assessment techniques.
Choice C is incorrect as the apical heart rate is obtained by auscultating at the fifth intercostal space, not the third.
Choice D is incorrect because palpating the abdomen before auscultating bowel sounds can lead to altered bowel sounds due to manipulation of the abdomen.
Question 3 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
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 as prescribed.
Question 4 of 5
A nurse is admitting a client to a healthcare facility. The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Wearing an N95 mask helps prevent the spread of airborne infections.
B: Placing a container for soiled linens inside the room prevents contamination of other areas.
C: Placing the client in a negative airflow room helps contain airborne pathogens.
E: Wearing a sterile water-resistant gown within 3 feet of the client prevents contact transmission.
Incorrect
Choices:
D: Removing the mask after exiting the room increases the risk of spreading infection.
F & G: No additional choices provided, so not applicable.
Extract:
Question 5 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The nurse should address the client's concerns about retirement by discussing how the change in job status will affect them. This response shows empathy and understanding of the client's feelings. It allows the nurse to explore the client's thoughts and feelings, providing an opportunity to address any fears or uncertainties the client may have about retirement. By engaging in a discussion about the potential impact of retirement, the nurse can help the client make an informed decision.
Summary of Incorrect
Choices:
A: This response assumes that the client's desire to retire is solely based on spending time with family, which may not be the case.
B: Suggesting a part-time job or volunteer work does not address the client's concerns about retirement and may not align with their wishes.
D: This response is dismissive of the client's feelings and does not address the underlying reasons for their hesitation towards retirement.
Overall, choice C is the most appropriate as it demonstrates active listening and allows for a meaningful conversation