ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 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: The correct answer is C: "I should remove constrictive clothing prior to measuring my blood pressure." This statement demonstrates an understanding of the importance of ensuring accurate blood pressure readings. Tight clothing can affect blood flow and give false readings. Removing constrictive clothing allows for accurate measurements.
Choice A is incorrect because waiting after drinking coffee does not directly impact blood pressure measurement accuracy.
Choice B is incorrect because measuring blood pressure with the arm elevated above the heart can also affect the accuracy of the reading.
Choice D is incorrect because measuring blood pressure immediately after eating can also give inaccurate results due to the digestive process affecting blood pressure.
Question 2 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: B
Rationale: The correct answer is B: Assault. Assault is the act of threatening harm or making someone feel apprehensive about imminent harm. In this scenario, the AP's statement of using restraints to force-feed the client constitutes a threat of harm, which is considered assault. The nurse should intervene because this behavior is not acceptable in healthcare settings.
A: Battery involves actual physical harm, which has not occurred in this situation.
C: Negligence is the failure to provide proper care, not applicable here.
D: Malpractice involves professional negligence, not relevant in this context.
In summary, the other choices are incorrect because they do not accurately reflect the situation where the AP's statement constitutes a threat of harm, which aligns with the definition of assault.
Question 3 of 5
A nurse is planning to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Evaluating the client's ability to help with repositioning is crucial for maintaining their independence and preventing complications such as pressure ulcers. It ensures the client's safety and dignity while promoting autonomy in their care. By assessing the client's ability, the nurse can determine the level of assistance needed and tailor the repositioning technique accordingly.
Summary of other choices:
B: Repositioning the client without assistive devices may not be safe or appropriate, especially for a stroke client who may require specific positioning aids for proper alignment.
C: Raising side rails during repositioning is important for safety but does not directly address the client's ability to assist with repositioning.
D: Discussing the client's preferences for a repositioning schedule is important but does not address the immediate need to evaluate their ability to assist with repositioning.
Question 4 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 5 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Examine personal values about the issue. The nurse should reflect on their own values and beliefs to ensure they can provide nonjudgmental care. It is important to respect the parents' decision based on their religious beliefs.
Choice B is incorrect as it disregards the parents' autonomy.
Choice C is incorrect as consent is required for medical procedures.
Choice D is incorrect as it may not be respectful of the parents' beliefs. The nurse should prioritize understanding and respecting the parents' decision while ensuring the child's well-being.