ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is reviewing complementary therapies approved by the provider with a client who has hypertension. Which of the following supplements should the nurse discuss with the client?
Correct Answer: A
Rationale: The correct answer is A: Garlic. Garlic has been shown to potentially help lower blood pressure in individuals with hypertension due to its active compound allicin. Allicin has been suggested to relax blood vessels, leading to improved blood flow and reduced blood pressure. Peppermint oil (
B) is not typically used for hypertension. Licorice root (
C) can raise blood pressure and should be avoided. Chamomile (
D) is not known for its effect on blood pressure.
Extract:
A nurse is caring for a client who is scheduled for surgery.
Exhibit 1
Medical History
0800:
Client has a history of malnutrition, hyperlipidemia, and diabetes mellitus.
Mini Nutritional Assessment screening tool score of 7 points (0 to 14 points)
Question 2 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply
Correct Answer: A,C,E,F
Rationale: The correct answers are A, C, E, and F.
A: History of diabetes mellitus - Diabetes affects blood flow and impairs the immune system, leading to delayed wound healing.
C: Prealbumin level - Low prealbumin levels indicate malnutrition, which can hinder wound healing.
E: Mini Nutritional Assessment screening tool score - A low score indicates poor nutritional status, impacting wound healing.
F: History of malnutrition - Malnourished individuals lack essential nutrients needed for proper wound healing.
The incorrect choices:
B: Cholesterol level - Cholesterol levels do not directly impact wound healing.
D: History of hyperlipidemia - Hyperlipidemia does not necessarily affect wound healing.
Extract:
Question 3 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. Placing the client in this position allows gravity to assist in the drainage of secretions from the left lower-lobe atelectasis. The Trendelenburg position promotes the movement of mucus towards the larger airways for easier expectoration. The other choices are incorrect because:
A) Supine in low-Fowler's position does not facilitate drainage from the lower lobes.
B) Side-lying with the right side of the chest elevated would not effectively target the left lower lobe.
C) Prone with pillows under the lower extremities is not ideal for addressing atelectasis in the lower lobes.
Question 4 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube. The collar provides stability and support to keep the tube in place. Cutting a gauze pad to place under the flanges (
A) is not necessary and may increase the risk of infection. Cleansing the skin with full-strength hydrogen peroxide (
B) can be irritating and damaging to the skin. Wearing clean gloves while cleaning the inner cannula (
D) is essential for infection control but is not directly related to securing the tracheostomy in place.
Question 5 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Use trochanter rolls beside the client’s legs. Trochanter rolls help prevent external rotation of the hips, maintaining proper alignment and preventing pressure ulcers. Placing the client’s arms at their sides (
B) may restrict circulation. Crossing the client’s ankles (
C) can cause pressure ulcers. Logrolling (
D) is not necessary for routine turning. It is essential to maintain proper body alignment and prevent complications in immobile clients.