ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Review the use of an artificial larynx with the client. This is the priority as it directly addresses the client's immediate need for communication after a total laryngectomy. Using an artificial larynx can help the client communicate effectively post-surgery.
Choice A (Schedule a support session for the client) is important but not the priority.
Choices B (Explain the techniques of esophageal speech) and C (Determine the client's reading ability) are not as essential as ensuring immediate communication post-surgery.
Question 2 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the impact of the mastectomy on the client's body image. The nurse should first assess the client's emotional state and address her feelings of distress and avoidance. By identifying the impact of the mastectomy on body image, the nurse can provide emotional support and appropriate interventions. This step prioritizes the client's emotional well-being and helps establish trust. Encouraging the client to assist with dressing changes (
B) may not address the underlying emotional distress. Referring the client to a support group (
C) may be beneficial but should come after addressing the immediate emotional needs. Providing a mirror (
D) may worsen the client's distress if she is not ready to confront her incisions.
Question 3 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.
Question 4 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wear an N95 respirator mask when caring for the client." This is the correct choice because MRSA can be transmitted through respiratory droplets, and wearing an N95 respirator mask can help prevent the spread of the infection. Removing the gown before gloves (choice
A) is incorrect as it increases the risk of contamination. Asking visitors to wear a mask (choice
B) may be helpful but does not directly address the nurse's protection. Placing the client in a private room (choice
D) is important for isolation but does not focus on the nurse's protection.
Question 5 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your visitors will need to wear protective gowns. This is important because patients undergoing allogeneic stem cell transplant have weakened immune systems and are at a high risk of infection. Visitors can introduce harmful pathogens, hence the need for protective gowns.
Incorrect answers:
A: Negative-airflow rooms are used for patients with airborne infections, not specifically for stem cell transplant recipients.
B: Semi-private rooms may increase the risk of exposure to pathogens from other patients.
D: The patient, not the nurse, should wear a mask when outside the room to protect themselves.
In summary, choice C is correct as it directly addresses the need to protect the patient from potential infections brought in by visitors.