ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?
Correct Answer: D
Rationale: Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care but determining the client's reading ability takes precedence as it will significantly impact communication options. Arranging a support session is important for emotional support but assessing the client's reading ability is more immediate in addressing communication needs. Demonstrating the use of esophageal speech is relevant but understanding the client's reading ability is a priority before exploring communication alternatives.
Question 2 of 5
A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider the nurse still feels that it is unsafe. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: If the nurse still has concerns after seeking clarification the appropriate action is to contact another provider for a second opinion to ensure the safety and well-being of the client. Withholding the treatment without further consultation may not be the best course of action. Seeking additional input is important. Carrying out the prescription despite concerns about its safety may pose risks to the client. Notifying the ethics committee should be considered if there are ongoing ethical concerns or if the issue cannot be resolved through collaboration with other providers.
Question 3 of 5
A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?
Correct Answer: A
Rationale: Holding the cane on the affected side is a correct technique to provide support. Keeping two points of support on the ground is a proper technique for stability. Advancing the cane before moving the unaffected leg is incorrect and may lead to instability and increased risk of falls. Supporting weight on both legs while moving the cane forward is a correct technique for stability during ambulation.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following client statements indicates a need for further instruction?
Correct Answer: C
Rationale: Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT). Leaving antiembolic stockings on during sleep helps prevent DVT so the client's statement is incorrect. Using a footstool while sitting in a chair promotes proper positioning and comfort.
Question 5 of 5
A nurse is teaching a client who can bear weight on only one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct this client to use?
Correct Answer: D
Rationale: Two-point gait involves simultaneous partial weight-bearing on both legs. For a client who can bear weight on only one leg this gait is not suitable. Four-point gait involves alternating weight-bearing on each leg. It provides a stable and slow gait pattern making it appropriate for a client who can bear weight on only one leg. Swing-through gait is more advanced and involves swinging both crutches and the affected leg forward together. This is typically used for clients with more strength and coordination. Three-point gait involves non-weight-bearing on one leg and requires the use of crutches or an assistive device on one side only. It is not suitable for a client who can bear weight on one leg.