ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to check the client for injuries first. This is crucial to assess the immediate physical condition of the client and determine the severity of any potential harm. This step ensures timely intervention and appropriate care. Moving hazardous objects (
B) is important, but not the first priority. Notifying the provider (
C) can be done after ensuring the client's safety. Asking the client about how she felt (
D) can wait until the immediate safety concerns are addressed.
Question 2 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.
Question 3 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 4 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C: "It might help me to listen to music while trying to sleep." This answer indicates that the client understands non-pharmacological pain management strategies taught preoperatively. Music can distract from pain, promote relaxation, and improve sleep quality. Option A suggests misinterpreting the need for more frequent pain medication. Option B distracts from pain temporarily but does not address long-term management. Option D indicates avoidance behavior, which is not a constructive approach to pain management.
Question 5 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field for wound irrigation, the nurse should remove the cap of the sterile solution bottle and place it sterile-side up on a clean surface. This is crucial to maintain the sterility of the solution. Placing the cap sterile-side up prevents contamination from the surface.
Choices B and C are incorrect as they do not address the proper handling of the solution bottle.
Choice D is incorrect as holding the bottle with the label facing away from the palm does not ensure the sterility of the solution. It is essential to follow proper aseptic technique to prevent infection and promote healing.