ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Ask the family if they wish to assist in washing the client’s body. This should be performed first as it involves respecting the family's wishes and cultural practices. Involving the family in the care process can provide a sense of closure and comfort. Removing the client's dentures (
B) or turning the lights to a bright setting (
D) can be done after the initial respectful steps. Leaving the client's eyes open (
C) may not be appropriate as it can be unsettling for the family.
Question 2 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will walk three times per week." Weight-bearing exercises like walking help improve bone density and reduce the risk of osteoporosis. Walking stimulates the bones to retain calcium, making them stronger.
Choice B is incorrect because sunlight exposure is needed for vitamin D synthesis, important for calcium absorption.
Choice C is incorrect as dairy products provide essential calcium for bone health.
Choice D is incorrect because the recommended daily calcium intake is around 1000-1200 mg for older adults.
Question 3 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "We can discuss what you can expect during your stay." This statement acknowledges the client's anxiety, offers support, and provides reassurance by indicating a willingness to address their concerns. It opens the door for open communication and allows the nurse to provide information to help alleviate the client's anxiety.
Incorrect choices:
B: "Most people are scared their first time in a health care facility" - This statement generalizes the client's feelings and does not address their specific concerns.
C: "You have nothing to worry about. Everything will be fine" - This statement dismisses the client's feelings and does not offer any support or information.
D: "Why are you feeling scared about being in this facility?" - This question might come off as confrontational and may make the client feel defensive, rather than supported.
Question 4 of 5
A nurse in a clinic is teaching a client who has diabetes mellitus about self-administration of insulin using a prefilled, multidose pen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Use pen needles that have a safe-needle protection device attached. This is important because it helps prevent accidental needle sticks and ensures safe disposal. Using needles with safety features reduces the risk of injury to both the client and healthcare provider. Option A is incorrect as pinching the skin can affect proper insulin absorption. Option C is incorrect as recapping needles increases the risk of needle-stick injuries. Option D is incorrect as removing the needle before disposing of it can lead to accidental needle sticks.
Question 5 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to prevent irritation and damage to the stoma. If the pouch is too tight, it can cause pressure on the stoma leading to necrosis. If the pouch is too loose, leakage can occur. Applying the pouch while the skin barrier is still damp (choice
A) can lead to poor adhesion. Changing the pouch once every 24 hr (choice
B) may be too frequent and can irritate the skin. Rubbing the peristomal skin dry after cleaning (choice
C) can cause skin irritation.