ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.
Question 2 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. The priority is to assess the client's rationale for refusal to address any underlying concerns or misconceptions. This allows the nurse to provide education, support, and encouragement tailored to the client's needs. Requesting a respiratory therapist may be helpful but doesn't address the client's specific reasons for refusal. Documenting refusal is important but doesn't address the immediate need to understand the client's perspective. Administering pain medication may alleviate discomfort but doesn't address the client's refusal.
Question 3 of 5
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
Correct Answer: A
Rationale: The correct answer is A: Latex. Latex allergies are crucial to address prior to IV therapy as latex is commonly found in medical equipment like gloves and IV tubing. An allergic reaction to latex can be severe and life-threatening. Seafood, bee stings, and peanuts are not typically related to IV therapy and would not directly impact the administration of the therapy. The focus should be on latex allergy due to its direct relevance to medical equipment used during IV therapy.
Question 4 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored
Question 5 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.