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:
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 2 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 3 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A non-coring needle. This type of needle is specifically designed for accessing implanted venous access ports as it minimizes the risk of damaging the septum or causing coring. Coring can lead to complications such as infection or damage to the port.
- A: An angiocatheter is not typically used for accessing implanted venous access ports as it may not be the most appropriate size or design for this purpose.
- B: A 25-gauge needle may not be suitable for accessing the port as it may not be designed to prevent coring.
- C: A butterfly needle is not the recommended choice for accessing an implanted venous access port as it may not have the same design features as a non-coring needle.
Question 4 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.
Correct Answer: D,C,B,E,A
Rationale:
To properly perform nasotracheal suctioning, the nurse should first don sterile gloves to maintain aseptic technique (
D).
Then, the nurse should turn on the suction and set the pressure (
C) to the appropriate level. Next, insert the catheter during the client's expiration, not inspiration, to minimize the risk of aspiration (
B). Apply suction while carefully rotating the catheter to remove secretions effectively (E). Finally, rinse the catheter to ensure it is clear of any remaining secretions (
A). This sequence ensures the safety and effectiveness of the suctioning procedure by following proper infection control measures and maintaining patient comfort.
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.