ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of safety considerations for an older adult with heart failure taking hydrochlorothiazide. Leaving a light on in the bathroom at night can prevent falls, as older adults are at higher risk due to medication side effects like dizziness from hydrochlorothiazide. Option A is incorrect as regular weight monitoring is crucial for heart failure but should be done more frequently than once weekly. Option B is incorrect as hydrochlorothiazide is typically taken in the morning to avoid frequent urination at night. Option D is incorrect as taking a hot bath before bed can cause dehydration and affect blood pressure, which is not recommended for someone with heart failure.
Question 2 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: The correct answer is C. Negligence occurs when a nurse fails to adhere to the standard of care, resulting in harm to the client. Administering medication without identifying the client violates the standard protocol, risking patient safety. Option A relates to lack of informed consent, not negligence. Option B involves restraint, not negligence. Option D pertains to confidentiality breach, not negligence. Thus, option C best exemplifies negligence in client care.
Question 3 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This is an expected finding in an eye assessment as normal eyelashes typically curve slightly outward. Eyelids blinking involuntarily (
B) is a normal physiological response, but the rate mentioned is too high. Pupils (
C) are normally 3 to 4 mm in diameter, not 8 to 9 mm. Corneas with an opaque appearance (
D) suggest a potential issue like corneal edema.
Question 4 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I will repeat these movements 3 to 5 times." This is the appropriate statement because passive range-of-motion exercises should be repeated multiple times to maintain joint mobility without causing excessive stress on the joints. Option A is incorrect because moving the joints to the point of mild pain can cause discomfort and potential harm. Option B is incorrect as moving the joints quickly may lead to strain or injury. Option D is incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to prevent joint stiffness.
Question 5 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Use trochanter rolls beside the client's legs. Trochanter rolls help maintain proper alignment of the hips and prevent external rotation of the legs, reducing the risk of pressure ulcers and hip dislocation. Logrolling (choice
A) is not necessary unless specifically indicated for spinal precautions. Placing the client's arms at their side (choice
C) may restrict circulation and lead to discomfort. Crossing the client's ankles (choice
D) could cause pressure ulcers and impair circulation.