ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Speak directly to the client. This is important because even though an interpreter is present, the nurse should address the client directly to establish a connection and ensure clear communication. Speaking directly to the client maintains respect and helps build trust. The other choices are incorrect because:
A) Speaking slowly to the interpreter may cause confusion and delays in communication.
B) Pausing in the middle of sentences can disrupt the flow of conversation and hinder understanding.
D) Using gestures alone may lead to misunderstandings or misinterpretations. It is crucial to prioritize direct communication with the client to ensure effective and respectful interaction.
Question 3 of 5
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the case manager's commitment to assisting the client in making informed decisions about alternative therapies. By offering to review information and help select a safe alternative practitioner, the case manager is showing support and guidance.
Choice B is incorrect because it assumes the provider will automatically inform the client about therapies, which may not always be the case.
Choice C is incorrect as it implies that any therapy aligned with the client's belief system is suitable, which may not always be safe or effective.
Choice D is incorrect as online support groups may not provide reliable information on alternative remedies.
Question 4 of 5
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement at a consistent time, aiding in establishing a regular bowel routine for the client following a spinal cord injury. The suppository acts as a stimulant to facilitate bowel evacuation.
Choices A, B, and D are incorrect. A diet high in refined grains may lead to constipation due to lack of fiber. Providing a cold drink before defecation does not directly impact bowel training. Restricting fluid intake to 1,500 mL per day is not advisable as it may lead to dehydration and worsen constipation.
Question 5 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.