ATI RN
RN Comprehensive Predictor 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:
Correct
Answer: C - Speak directly to the client.
Rationale: Speaking directly to the client ensures that the information is accurately conveyed without any misinterpretation by the interpreter. Direct communication helps establish a connection with the client and allows for immediate feedback. This approach promotes a trusting relationship and enhances understanding of the instructions provided. Using gestures (
A) may lead to misinterpretation, as gestures can vary in meaning across cultures. Speaking slowly to the interpreter (
B) may hinder effective communication and may not be necessary if the interpreter is proficient in both languages. Pausing in the middle of sentences (
D) can disrupt the flow of communication and cause confusion.
Question 2 of 5
A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Provide anticipatory guidance classes to parents through public schools. This option is the most effective as it focuses on preventive measures by educating parents on how to anticipate and prevent health issues in their children. This proactive approach aligns with public health principles of prevention being more effective than treatment. Encouraging rural residents to focus health spending on tertiary interventions (
A) is not ideal as prevention is more cost-effective. Launching a media campaign about industrial pollution (
B) may not directly address the health needs of the local population. Having an outside nurse provide health lectures (
C) may not effectively engage the community.
Question 3 of 5
A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate?
Correct Answer: D
Rationale: The correct answer is D: Administer a fluid bolus. Dark yellow urine and a low urinary output of 25 mL/hr can indicate dehydration or inadequate fluid intake. Administering a fluid bolus will help improve the client's hydration status and increase urine output. Clamping the catheter tubing for 30 minutes (choice
A) can lead to urinary retention and is not indicated. Obtaining a urine specimen for culture and sensitivity (choice
B) is important but not the priority in this situation. Initiating continuous bladder irrigation (choice
C) is not necessary based on the information provided.
Therefore, the best initial intervention is to administer a fluid bolus to address dehydration and improve urinary output.
Question 4 of 5
A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Beneficence. Beneficence is the ethical principle that focuses on doing good and promoting the well-being of others. By sitting with the client to provide comfort after the loss of their partner, the nurse is demonstrating beneficence by showing empathy and care. Autonomy (
B) relates to respecting the client's right to make their own decisions, which is not the focus in this scenario. Fidelity (
C) pertains to being faithful and keeping promises, which is not directly applicable here. Veracity (
D) refers to truthfulness, which is not the primary ethical principle being demonstrated in this situation.
Question 5 of 5
A nurse is caring for a female client who requests a contraceptive diaphragm. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Determine the client's knowledge about diaphragm use. This is the first action the nurse should take because it assesses the client's baseline understanding and familiarity with diaphragm use. By assessing the client's knowledge, the nurse can tailor education and support to address any gaps or misconceptions the client may have. This initial assessment is crucial in promoting successful and effective contraceptive use.
Choice A: Documenting the client's level of understanding about potential adverse effects is important but should come after assessing the client's knowledge about diaphragm use to ensure proper education.
Choice B: Teaching the client how to insert the diaphragm should follow the assessment of the client's knowledge to provide targeted education.
Choice D: Supervising the return demonstration of diaphragm use should come after educating the client on proper insertion and use, making it a later step in the process.