ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
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?
Correct Answer: C
Rationale: The correct answer is C because a durable power of attorney becomes enforceable when the client is unable to express their wishes. This is because the appointed individual (the attorney-in-fact) steps in to make decisions on behalf of the client when they are unable to communicate their preferences.
Choice A is incorrect because incapability of self-care doesn't necessarily trigger durable power of attorney.
Choice B is incorrect as being terminally ill doesn't automatically activate durable power of attorney.
Choice D is incorrect as refusing treatment doesn't directly relate to the activation of durable power of attorney.
Question 2 of 5
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,E
Rationale:
Correct Answer: A, E
Rationale:
A: Cutting the opening of the pouch 1/8 inch larger than the stoma prevents irritation and ensures a proper fit.
E: Emptying the pouch when it's one-third full prevents leakage and skin irritation.
Incorrect
Choices:
B: Placing gauze over the stoma can introduce fibers and cause irritation.
C: A purple-blue stoma color may indicate reduced blood flow, not healing.
D: Povidone-iodine can be irritating; mild soap and water are recommended.
Question 3 of 5
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Allow the client to slide down their outstretched leg. This is the safest option as it helps to lower the client to the ground in a controlled manner, reducing the risk of injury. Moving quickly in front of the client (
A) can potentially cause both the nurse and the client to fall. Remaining upright (
B) increases the risk of injury to both parties. Placing arms around the client (
D) may not provide enough support and could lead to both falling. It's important for the nurse to prioritize the safety of the client by guiding them down gently.
Question 4 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.)
Correct Answer: A,B,C,D,E
Rationale: The correct order for assessing a client's abdomen is A, B, C, D, E. First, observing the abdomen with a penlight helps assess skin condition, scars, and distension. Second, using a stethoscope to listen for bowel sounds provides information on gastrointestinal motility. Third, systematically percussing the abdomen helps identify areas of dullness or tympany. Fourth, lightly depressing the right lower quadrant helps assess for tenderness or pain. Lastly, pressing deeply into the upper left abdomen detects aortic pulsation, which is crucial for identifying potential abnormalities. This sequence ensures a comprehensive and systematic assessment. Other choices are incorrect as they do not follow a logical progression of assessment steps.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by their provider. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse is respecting the client's autonomy and cultural beliefs by offering a referral to a practitioner of traditional Chinese medicine. This response shows cultural competence and patient-centered care.
Choice A is incorrect because it assumes the provider will recommend against traditional Chinese medicine.
Choice B is incorrect because it dismisses the client's preference without exploring it further.
Choice C is incorrect because the FDA does not regulate traditional Chinese medicine.