ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the family if they wish to assist in washing the client's body. This action is important as it involves the family in the care of their loved one, allowing them to participate in the process and find closure. It also respects cultural and religious beliefs related to death rituals.
Choice A is incorrect because turning the overhead lights to a bright setting may not be appropriate for a sensitive and respectful environment during postmortem care.
Choice C is incorrect because removing the client's dentures without the family's consent may cause distress or be against their wishes.
Choice D is incorrect because leaving the client's eyes open until the family views the body may not be culturally or emotionally appropriate for the family and may cause unnecessary discomfort.
Question 2 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: B
Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Walking is a weight-bearing exercise that helps strengthen bones and prevent osteoporosis. Weight-bearing exercises help maintain bone density and reduce the risk of fractures. Walking for 30 minutes, three to five times a week, is a recommended guideline for osteoporosis prevention.
Choice A is incorrect because maintaining lean body mass alone may not be sufficient to prevent osteoporosis.
Choice C is incorrect because increasing vitamin B12 intake does not directly impact bone health.
Choice D is incorrect because while water aerobics can be beneficial for overall fitness, it may not be as effective in preventing osteoporosis as weight-bearing exercises like walking.
Question 3 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: The client coughs frequently while eating. This is the priority finding as it indicates a risk of aspiration, which can lead to serious complications like pneumonia. The nurse should address this immediately to ensure the client's safety.
Choice B is not as urgent as the client's blood pressure is slightly elevated but not critically high.
Choice C, the client consuming 25% of meals, is concerning but not as immediately life-threatening as aspiration.
Choice D, the client leaning to the left side while sitting, may be related to the left-sided weakness but does not pose an immediate risk to the client's health.
Question 4 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: D
Rationale: The correct answer is D: Check the blood product's compatibility with the client's blood type. This step is crucial to prevent a transfusion reaction, as administering incompatible blood can be life-threatening. The nurse should verify the blood product against the client's blood type and Rh factor to ensure compatibility.
A: Priming the IV tubing with lactated Ringer's is not necessary before administering packed RBCs and does not ensure the blood product's compatibility.
B: Confirming the client's identity with the blood bank technician is important but does not directly relate to ensuring the blood product's compatibility.
C: Checking for a small gauge IV catheter is important for infusion, but it is not directly related to ensuring the blood product's compatibility.
Overall, the priority before administering packed RBCs is to confirm compatibility with the client's blood type to prevent adverse reactions.
Question 5 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: The correct answer is A because using a straw with thickened juice can increase the risk of aspiration for a client with dysphagia. Straws can bypass the natural swallowing process, leading to potential choking or aspiration. Option B is correct as it promotes proper positioning for swallowing. Option C is incorrect as taking breaks during meals is common for clients with dysphagia to prevent fatigue. Option D is also correct as tucking the chin helps to protect the airway during swallowing.