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 answer is A: Check the client for injuries. This should be the first action taken by the nurse as it is crucial to assess the client's immediate physical condition for any potential harm. Checking for injuries is a priority to ensure the client's safety and well-being. Moving hazardous objects (
B) should only be done after ensuring the client is not in immediate danger. Notifying the provider (
C) can be done after assessing the client's injuries. Asking the client to describe how she felt prior to the fall (
D) is important but should come after ensuring there are no immediate injuries that need attention.
Question 2 of 5
A nurse is performing postmortem care for a recently deceased client prior to the client's family viewing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Hold the client's eyes shut for a few seconds. This action is appropriate during postmortem care to provide a peaceful appearance for the family viewing. By gently closing the deceased client's eyes, the nurse can create a more natural and serene expression, helping the family to remember their loved one in a dignified manner. It is essential to maintain the client's dignity and respect during this sensitive process.
Crossing the client's arms across their chest (
A) is a common misconception but not necessary for postmortem care. Placing the client in a high-Fowler's position (
C) is not appropriate as it is used for living clients for respiratory support. Removing the client's dentures (
D) should not be done unless requested by the family or healthcare provider.
Question 3 of 5
A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.
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 assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: The correct assessments for identifying an older adult client's safety needs are B, C, D, and E. Pupil clarity is important to assess for any visual impairments that may affect balance and mobility. The appearance of bulbar conjunctivae can indicate any eye conditions that might increase fall risk. Evaluating visual fields can detect peripheral vision issues that can impact navigation and safety. Lastly, assessing visual acuity is crucial to determine the client's ability to see clearly and avoid obstacles.
Choices A and F are irrelevant to assessing fall risk in older adults.
Choice G is not provided.