ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: How to operate the portable suction machine. This is important because maintaining a patent airway is crucial for a client with a tracheostomy. Suctioning helps to remove secretions and prevent blockages. Teaching the partner how to operate the suction machine ensures that they can assist in emergencies and daily care.
Choice B (How to secure the tracheostomy tube with ties at the back of the neck) is incorrect because securing the tube is important, but it is typically done by healthcare professionals initially and may not need to be done daily by the partner.
Choice C (How to change the nondisposable tracheostomy tube daily) is incorrect because changing the tracheostomy tube is a sterile procedure that should be done by healthcare professionals, not the partner.
Choice D (How to change the tracheostomy dressing using clean technique) is incorrect because changing the dressing is also typically done by healthcare professionals and requires sterile technique, not just
Question 2 of 5
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Provide humidification of the room air. Xerostomia, or dry mouth, is a common side effect of radiation therapy. Humidifying the room air can help alleviate dryness by increasing moisture. Option A is incorrect because alcohol-based mouthwash can further dry out the mouth. Option C is incorrect as saltine crackers can exacerbate dryness. Option D is unrelated as it pertains to speech, not xerostomia.
Question 3 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the client for injuries. This should be the first action taken by the nurse as it is crucial to assess the client's immediate physical condition for any potential harm. Checking for injuries is a priority to ensure the client's safety and well-being. Moving hazardous objects (
B) should only be done after ensuring the client is not in immediate danger. Notifying the provider (
C) can be done after assessing the client's injuries. Asking the client to describe how she felt prior to the fall (
D) is important but should come after ensuring there are no immediate injuries that need attention.
Question 4 of 5
A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client who was just given a glass of orange juice for a low blood glucose level first because hypoglycemia can lead to serious complications such as seizures or loss of consciousness. Assessing this client first allows the nurse to monitor for signs of worsening hypoglycemia and take prompt action if needed.
Choice A is incorrect because a client scheduled for a procedure in 1 hr can be assessed after ensuring the immediate safety of the client with low blood glucose.
Choice B is incorrect since a client who received pain medication 30 min ago for postoperative pain doesn't indicate an immediate life-threatening situation.
Choice D is incorrect as a client with 100 mL of fluid remaining in the IV bag can be monitored but doesn't require immediate attention compared to a client with low blood glucose levels.
Question 5 of 5
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the case manager's commitment to assisting the client in making informed decisions about alternative therapies. By offering to review information and help select a safe alternative practitioner, the case manager is showing support and guidance.
Choice B is incorrect because it assumes the provider will automatically inform the client about therapies, which may not always be the case.
Choice C is incorrect as it implies that any therapy aligned with the client's belief system is suitable, which may not always be safe or effective.
Choice D is incorrect as online support groups may not provide reliable information on alternative remedies.