ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 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 2 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.
Question 3 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This position helps promote a safe swallowing mechanism by facilitating proper alignment of the head and neck. Sitting at or below the client's eye level minimizes the risk of aspiration and choking during feeding. In contrast, option A (lifting chin when swallowing) may increase the risk of aspiration in clients with dysphagia. Option B (talking during feeding) can lead to distractions and increase the risk of choking. Option D (discouraging coughing) is incorrect because coughing is a protective mechanism to clear the airway and should not be discouraged during feedings.
Question 4 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: D
Rationale: The correct answer is D: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Individuals who have demonstrated violent behavior in the past are more likely to engage in violent behavior again.
Choice A, being in prison, does not necessarily indicate future violence.
Choice B, experiencing delusions, may increase the risk but is not as strong a predictor as past violent behavior.
Choice C, male gender, is a generalization and does not account for individual differences.
Question 5 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to blood in the urine (hematuria). This occurs due to the damaged glomerular filtration membrane allowing red blood cells to leak into the urine. Oliguria is not typically seen in acute glomerulonephritis as the kidneys are still able to produce urine, albeit with blood in it. Hypotension is not a common finding as glomerulonephritis often presents with hypertension due to fluid retention. Weight loss (
Choice
C) is unlikely since fluid retention is more common. Hematuria (
Choice
D) is the hallmark sign of acute glomerulonephritis due to the inflammation and damage to the glomeruli.