ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Endotracheal suctioning. This procedure should be prioritized as it helps maintain a patent airway, which is crucial for the client's oxygenation and ventilation. Without a clear airway, the client may experience respiratory distress or compromise. Urinary catheter care (
A) is important but not immediately life-threatening. Enteral feeding (
B) and wound irrigation (
C) can be delayed as they do not directly impact the client's airway. Endotracheal suctioning takes precedence over these procedures.
Question 2 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Inject 5.1 cm (2 in) away from the umbilicus. This instruction is important to prevent any damage to the abdominal organs near the umbilicus. Injecting heparin too close to the umbilicus can lead to injury or bleeding.
Choice A is incorrect because an 18-gauge, 1-inch needle is too large for subcutaneous injections like heparin administration.
Choice B is incorrect as massaging the injection site after withdrawing the needle can increase the risk of bruising or bleeding.
Choice D is incorrect as expelling air bubbles before injecting medication is essential for intravenous injections, not subcutaneous injections like heparin.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: The correct answer is A: Metabolic syndrome. Metabolic syndrome is a cluster of conditions that increase the risk of cardiovascular disease, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors contribute to a higher likelihood of developing heart disease, stroke, and other cardiovascular issues.
Choice B, participation in competitive sports, does not inherently place a client at risk for cardiovascular disease; in fact, regular exercise is beneficial for heart health.
Choice C, family history of alcohol use disorder, may indicate a genetic predisposition to alcoholism but is not directly linked to cardiovascular disease risk.
Choice D, hypotension, is low blood pressure and is not typically associated with an increased risk of cardiovascular disease.
Question 4 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of safety considerations for an older adult with heart failure taking hydrochlorothiazide. Leaving a light on in the bathroom at night can prevent falls, as older adults are at higher risk due to medication side effects like dizziness from hydrochlorothiazide. Option A is incorrect as regular weight monitoring is crucial for heart failure but should be done more frequently than once weekly. Option B is incorrect as hydrochlorothiazide is typically taken in the morning to avoid frequent urination at night. Option D is incorrect as taking a hot bath before bed can cause dehydration and affect blood pressure, which is not recommended for someone with heart failure.
Question 5 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.