ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The cane’s height should be at the level of the wrist when the arm is hanging naturally, corresponding to the greater trochanter (hip bone), ensuring proper support and reducing strain. Advancing the weak leg first is incorrect; the cane and weak leg move together. Advancing 12-14 inches is too far; 6-10 inches is appropriate. The cane is held in the stronger hand.
Question 2 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: B
Rationale: Shortness of breath, swelling, crackles, and elevated blood pressure suggest hypervolemia (fluid overload), common in ESKD due to impaired fluid excretion. Hyponatremia, hypovolemia, and hyperkalemia have different symptoms.
Question 3 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client on their side prevents aspiration of secretions during oral care, especially for immobile clients. Using fingers to hold the mouth open may cause discomfort, petroleum jelly is secondary, and a stiff toothbrush can damage oral tissues.
Question 4 of 5
A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief?
Correct Answer: D
Rationale: Uncomplicated grief is a normal response to loss, diminishing over time as the client adapts, as seen in the client’s decreasing grief and positive outlook. Disenfranchised grief lacks social recognition, anticipatory grief occurs before loss, and prolonged grief persists abnormally.
Question 5 of 5
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the 'E' in the NURSE mnemonic?
Correct Answer: A
Rationale: The 'E' in NURSE stands for empathize. Saying 'It sounds like you are exhausted' acknowledges and validates the client’s feelings of being overwhelmed, showing empathy. Other responses encourage dialogue or offer support but don’t directly empathize.