ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

A. The client is incapable of providing self-care.B. The client is unable to express their wishes.C. The client is terminally ill.D. The client has refused treatment

Correct Answer: B

Rationale: Durable power of attorney (
B) activates when the client can’t communicate healthcare decisions, not just self-care (
A), terminal illness (
C), or refusal (
D).

Question 2 of 5

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

A. Social workerB. Occupational therapistC. Speech-language pathologistD. Physical therapist

Correct Answer: B

Rationale: Occupational therapists (
B) specialize in ADLs like eating. Social workers (
A) handle psychosocial issues, speech therapists (
C) focus on swallowing, and physical therapists (
D) address mobility.

Question 3 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 4 of 5

A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?

A. Use sterile gloves when removing the old dressingB. Change the dressing four times per day.C. Clean from the incision to the surrounding skin.D. Apply tincture of benzoin prior to removing the dressing

Correct Answer: C

Rationale: Cleaning from incision outward (
C) prevents contamination. Sterile gloves (
A) aren’t needed (clean suffice), frequent changes (
B) disrupt healing, and benzoin (
D) isn’t routine.

Question 5 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

A. Obtain a prescription for restraints from the provider.B. Document the indications for using wrist restraints.C. Explain the procedure to the client and their family.D. Attempt less restrictive alternatives.

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN