ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: A
Rationale: The correct answer is A: A client who is ambulatory and receiving oxygen. This client should be evacuated first due to the risk of oxygen supporting combustion during a fire. Ambulatory clients can move independently, making evacuation quicker.
Choices B, C, and D have limitations that would slow down evacuation or increase risks during a fire.
Choice B has traction that requires careful handling,
Choice C may have impaired communication with the hearing aid, and
Choice D's confusion could hinder cooperation. Evacuating clients with these limitations first could delay the evacuation process or pose additional risks.
Question 2 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.
Question 3 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 4 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: A
Rationale: The correct answer is A: Biofeedback. Biofeedback involves monitoring bodily functions to gain control over normally involuntary processes. In the case of herpes zoster, the skin lesions and pain may interfere with the accuracy and effectiveness of biofeedback techniques. Herbal remedies (
C) can be used cautiously, aloe (
B) can provide soothing effects, and acupuncture (
D) can help manage pain in herpes zoster. However, biofeedback may not be suitable due to the discomfort and sensitivity associated with the condition.
Question 5 of 5
A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A. The nurse should use a filter needle to withdraw the medication.
Rationale: Using a filter needle helps prevent glass particles from entering the syringe, ensuring patient safety. Glass ampules can sometimes have small glass particles that could be harmful if injected. Using a filter needle filters out these particles, reducing the risk of contamination. It is essential for the nurse to prioritize patient safety by taking this precautionary measure.
Summary of other choices:
B: Breaking the neck of the ampule toward their body increases the risk of injury from glass shards.
C: Using the same needle for drawing up and injecting can introduce glass particles into the patient.
D: Disposing of the ampule in the trash can is an appropriate step but does not address the immediate safety concern of using a filter needle.