ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Participate in range-of-motion exercises. Range-of-motion exercises can help promote circulation, prevent blood clots, and maintain muscle strength postoperatively. It also aids in preventing complications such as stiff joints and muscle weakness. Option A is incorrect as prolonged bed rest can increase the risk of blood clots. Option C is important for lung expansion but not specifically for promoting circulation. Option D is helpful for comfort but does not directly promote circulation. Remember, promoting circulation is crucial for preventing complications like deep vein thrombosis in the postoperative period.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I should remove constrictive clothing prior to measuring my blood pressure."
Rationale: Removing constrictive clothing ensures accurate blood pressure readings by preventing constriction that may falsely elevate the readings. This statement demonstrates an understanding of the importance of proper preparation for accurate measurements.
Choice A is incorrect because waiting 15 minutes after drinking coffee is not necessary for accurate blood pressure measurement.
Choice B is incorrect because measuring blood pressure with the arm elevated above the heart can lead to inaccurate readings.
Choice D is incorrect because measuring blood pressure immediately after eating can also lead to inaccurate results due to the body's postprandial response.
The correct choice, C, emphasizes the importance of removing constrictive clothing, which is crucial for obtaining accurate blood pressure readings.
Question 4 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: A
Rationale: The correct answer is A: A client who is ambulatory and receiving oxygen. This client should be evacuated first due to the risk of oxygen supporting combustion during a fire. Ambulatory clients can move independently, making evacuation quicker.
Choices B, C, and D have limitations that would slow down evacuation or increase risks during a fire.
Choice B has traction that requires careful handling,
Choice C may have impaired communication with the hearing aid, and
Choice D's confusion could hinder cooperation. Evacuating clients with these limitations first could delay the evacuation process or pose additional risks.
Question 5 of 5
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
Correct Answer: B
Rationale: The correct answer is B: Initiate a discussion with clients about ways to cope with changes in family dynamics. This is the most appropriate strategy for the nurse to use during the support group session because it focuses on helping clients cope with the aftermath of suicide within the family. By discussing coping strategies, clients can learn effective ways to navigate the changes in family dynamics that may occur following a suicide. This can help clients process their emotions, build resilience, and improve their overall well-being.
Rationale for other choices:
A: Encouraging clients to establish a timeline for their own grieving process may not be helpful as each individual's grieving process is unique and cannot be strictly outlined in a timeline.
C: Assisting clients in identifying ways suicide could have been prevented may not be beneficial as it can lead to feelings of guilt and blame among group members.
D: Discouraging clients from sharing negative aspects of their relationship with the deceased persons can hinder the healing process and prevent clients from expressing their true emotions