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: Self-care incapacity or terminal illness doesn’t automatically trigger it; it’s enforceable when the client can’t express wishes due to incapacity. Refusal of treatment doesn’t activate it if the client is competent.
Question 2 of 5
A nurse is caring for a client who has tuberculosis. The nurse should anticipate which isolation precautions for the client?
Correct Answer: A
Rationale: Airborne precautions are necessary for clients with tuberculosis (T
B) because TB is an airborne disease. It is transmitted through tiny droplets released into the air when an infected person coughs, sneezes, or talks. These precautions include placing the client in a negative pressure room, using N95 respirators for healthcare workers, and ensuring the client wears a surgical mask when outside their room. These measures help prevent the spread of TB to others. Protective precautions, also known as reverse isolation, are used to protect immunocompromised patients from infections. These precautions are not appropriate for a client with TB, as the primary concern is preventing the spread of TB from the infected client to others, not protecting the client from external infections. Contact precautions are used for infections that are spread by direct or indirect contact with the patient or their environment, such as MRSA or C. difficile. TB is not spread through contact but through airborne particles, so contact precautions are not sufficient for preventing the transmission of TB. Droplet precautions are used for diseases that are spread through large respiratory droplets, such as influenza or pertussis. While TB is a respiratory disease, it is spread through much smaller airborne particles that can remain suspended in the air for longer periods, making airborne precautions necessary instead of droplet precautions.
Question 3 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Herbal supplements must be reported due to interactions; allergies can develop over time; stopping medication abruptly is unsafe. Food-drug interactions (e.g., grapefruit with statins) show understanding.
Question 4 of 5
A nurse is caring for a client who has an NG tube set to low-intermittent suction for gastric decompression. The nurse observes that the NG tube is not draining. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lowering the bed to 15 degrees may assist drainage but is less effective than clearing a potential blockage. Injecting 10 mL of air into the vent lumen is a standard technique to dislodge obstructions, restoring drainage. High suction risks gastric mucosa damage, and connecting the air vent to suction disrupts its purpose of preventing adherence to the stomach lining.
Question 5 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: Moving quickly to a position in front of the client is not recommended. This action could result in both the nurse and the client falling, potentially causing injury to both parties. Remaining upright as the client falls toward them is incorrect. This action does not provide adequate support or control, increasing the risk of injury to the client. Allowing the client to slide down their outstretched leg is the correct action. This technique helps control the fall and minimizes the risk of injury by providing a controlled descent to the floor. Placing their arms around the client to prevent the fall is not advisable. This action can lead to both the nurse and the client falling, which could result in injuries.