ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Speak directly to the client. This is important because even though an interpreter is present, the nurse should address the client directly to establish a connection and ensure clear communication. Speaking directly to the client maintains respect and helps build trust. The other choices are incorrect because:
A) Speaking slowly to the interpreter may cause confusion and delays in communication.
B) Pausing in the middle of sentences can disrupt the flow of conversation and hinder understanding.
D) Using gestures alone may lead to misunderstandings or misinterpretations. It is crucial to prioritize direct communication with the client to ensure effective and respectful interaction.
Question 2 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 3 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 4 of 5
A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and comfort. Sitting also conveys a sense of attentiveness and empathy, which can help the client feel more at ease and open up during the health history assessment. Standing at the side of the bed (
B) may create a sense of imbalance or distance. Sitting on the bed (
C) can invade the client's personal space and may not be professional. Standing at the foot of the bed (
D) can be intimidating and lacks a sense of closeness and connection.
Question 5 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.