ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: The correct answers are B, C, F, and G.
B: The steroid dose will decrease each day to gradually taper off the medication and prevent withdrawal symptoms.
C: Adjusting the oxygen flow rate as needed to ease breathing helps maintain adequate oxygen levels, promoting respiratory function.
F: Steroid medication should be taken in the morning to mimic the body's natural cortisol production rhythm and reduce the risk of sleep disturbances.
G: Ensuring the oxygen delivery system is at least 8 feet from any heat source prevents fire hazards and maintains safe oxygen levels.
Incorrect answers:
A: Antibiotic medication should be taken as prescribed, whether with or without food depends on the specific medication.
D: Antibiotic therapy duration varies based on the type of infection; it should be completed as prescribed.
E: The oxygen cylinder wrench should be stored in a separate, easily accessible location for emergency use, not attached to the oxygen tank.
Question 2 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.
Question 3 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "We can discuss what you can expect during your stay." This statement acknowledges the client's anxiety, offers support, and provides reassurance by indicating a willingness to address their concerns. It opens the door for open communication and allows the nurse to provide information to help alleviate the client's anxiety.
Incorrect choices:
B: "Most people are scared their first time in a health care facility" - This statement generalizes the client's feelings and does not address their specific concerns.
C: "You have nothing to worry about. Everything will be fine" - This statement dismisses the client's feelings and does not offer any support or information.
D: "Why are you feeling scared about being in this facility?" - This question might come off as confrontational and may make the client feel defensive, rather than supported.
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: B
Rationale: The correct answer is B: "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 prevent joint stiffness and contractures. Repeating the movements helps maintain joint flexibility and circulation.
Explanation of why the other choices are incorrect:
A: "I will move your joints to the point of mild pain" - Incorrect because pain should be avoided during passive range-of-motion exercises to prevent injury and discomfort.
C: "I will move your joints quickly" - Incorrect because slow, controlled movements are recommended to prevent injury and ensure effectiveness.
D: "These movements will be performed once per day" - Incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to promote joint mobility and prevent stiffness.
Question 5 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. Pouring liquids into containers outside the sterile field prevents contamination.
Step 1: Set up sterile field.
Step 2: Pour liquids into containers within sterile field. Pouring outside risks contamination.
A: Incorrect. Sterile field should be at chest level to maintain sterility.
B: Incorrect. Label should face up to prevent contamination.
C: Incorrect. Open flaps away from body to avoid contamination.