ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The nurse should address the client's concerns about retirement by discussing how the change in job status will affect them. This response shows empathy and understanding of the client's feelings. It allows the nurse to explore the client's thoughts and feelings, providing an opportunity to address any fears or uncertainties the client may have about retirement. By engaging in a discussion about the potential impact of retirement, the nurse can help the client make an informed decision.
Summary of Incorrect
Choices:
A: This response assumes that the client's desire to retire is solely based on spending time with family, which may not be the case.
B: Suggesting a part-time job or volunteer work does not address the client's concerns about retirement and may not align with their wishes.
D: This response is dismissive of the client's feelings and does not address the underlying reasons for their hesitation towards retirement.
Overall, choice C is the most appropriate as it demonstrates active listening and allows for a meaningful conversation
Question 2 of 5
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale:
Correct Answer: D - Have the client take sips of water to promote insertion of the NG tube into the esophagus.
Rationale: Having the client take sips of water helps facilitate the passage of the NG tube through the esophagus by promoting swallowing reflexes and lubricating the tube. This method is commonly used to aid in the insertion process and reduce discomfort for the client.
Summary of other choices:
A: Positioning the client at the head of the bed elevated to 30° is important for NG tube insertion but not the direct action needed during insertion.
B: Removing the NG tube if the client gags or chokes is incorrect; these are common reactions during insertion and do not necessarily indicate a problem.
C: Applying suction to the NG tube prior to insertion is unnecessary and can cause discomfort or injury to the client.
Extract:
Vital signs:Temperature 36.2° C (97.2° F) Pulse rate 116/min Respiratory rate 24/min BP 102/68 mm Hg Oxygen saturation 95% Weight 52.2 kg (115 Ib
Question 3 of 5
A nurse in a provider's clinic is caring for a client who has diarrhea. The nurse is providing teaching for the client. Select the 4 instructions the nurse should include in the teaching.
Correct Answer: B, C, F, G
Rationale: The correct instructions are B, C, F, and G. Probiotic foods like yogurt can help restore gut flora. Avoiding alcohol and caffeine is important as they can worsen diarrhea. Drinking lots of fluids is crucial to prevent dehydration. High-calcium foods (
A) are not directly related to managing diarrhea. Eating raw vegetables (
D) may be hard to digest. Eating three large meals a day (E) may be too heavy on the digestive system.
Extract:
Question 4 of 5
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I am available to talk if you should change your mind." This response demonstrates empathy, support, and readiness to provide assistance. By offering to talk if the client changes their mind, the nurse is acknowledging the client's autonomy in decision-making and providing an open invitation for further discussion. This approach respects the client's current choice while also ensuring the availability of emotional support if needed.
Other choices are incorrect:
A: This response prioritizes documentation over the client's emotional well-being.
B: This statement may provide false reassurance and does not address the client's emotional needs.
D: While support groups can be beneficial, making this referral without the client's consent or request may not be appropriate at this stage.
E, F, G: These options are not provided in the question, so they are irrelevant.
Extract:
Nurses’ Notes
First Clinic Vist:
Cliet arrives to dinc with report of increasing shortness of breath, fatigue. and weakness. States they gt short of breath with minimal activiy.
Cllent s alert and oriented to person, pace, and time. Maoves allextremities well, follows simple commands. Sinus tachycardia, Pulses to lowr extremitis wesk with +2 dependent edema present,
Slightlylabored respirations at rst. Chest with wheezes and crackles n the basas. Reports productive cough, especially during the overnight hours.
Bowel sounds al presen. Abdomen distended. Reports bowel movement this am.
States voiding without dfficulty, lear yellow urine
Teaching provided on nuition therapy and adhering to & ow-sodium diet, monitoring fud intake, and Ifestyle changes for heart fallure. Provided medication teaching following provider's increase in furosemide dosage
Question 5 of 5
A nurse is assessing a client with heart failure. The client reports increasing shortness of breath, fatigue, and weakness. Which of the following findings in the assessment should the nurse identify as most concerning?
Correct Answer: C
Rationale: The correct answer is C: Wheezes and crackles in the chest. This finding is most concerning in a client with heart failure because it indicates potential fluid buildup in the lungs, known as pulmonary edema, which can lead to severe respiratory distress and compromise oxygenation. Wheezes suggest bronchoconstriction, while crackles indicate fluid in the alveoli. These signs are indicative of worsening heart failure and require immediate intervention.
Weak pulses with +2 dependent edema in lower extremities (
Choice
A) are expected findings in heart failure due to fluid retention, but they do not directly indicate acute respiratory compromise. Slightly labored respirations at rest (
Choice
B) may be common in heart failure, but they are not as concerning as the presence of wheezes and crackles. Reports of productive cough during overnight hours (
Choice
D) may suggest underlying respiratory infection but are not as urgent as the respiratory distress indicated by wheezes and crackles.