ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 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: The correct response is C: "Let's talk about how the change in your job status will affect you." This response acknowledges the client's concerns and opens up a dialogue about the potential impact of retirement. It shows empathy and understanding towards the client's feelings.
Choice A is incorrect because it assumes that the client's main concern is spending time with family, which may not be the case.
Choice B is incorrect as it suggests immediate solutions without exploring the client's thoughts further.
Choice D is incorrect as it dismisses the client's feelings and imposes the idea of relaxation, which may not align with the client's desires.
Question 2 of 5
A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Beneficence. Beneficence is the ethical principle of doing good and acting in the best interest of the client. In this scenario, the nurse is demonstrating beneficence by providing comfort and support to the client who is grieving the loss of their partner. The nurse's actions are aimed at benefiting the client's emotional well-being.
Rationale for why the other choices are incorrect:
A: Fidelity refers to being faithful or loyal to commitments and promises. Sitting with the client in this scenario is not about loyalty but rather about providing emotional support.
B: Veracity relates to truth-telling and honesty. While important, it is not the primary ethical principle being demonstrated in this scenario.
C: Autonomy is the principle that respects the client's right to make their own decisions. While important, in this case, the nurse is providing support rather than focusing on the client's decision-making.
E, F, G: These choices are not provided, but based
Question 3 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 action is to check the client for injuries first. This is crucial to assess the immediate physical condition of the client and determine the severity of any potential harm. This step ensures timely intervention and appropriate care. Moving hazardous objects (
B) is important, but not the first priority. Notifying the provider (
C) can be done after ensuring the client's safety. Asking the client about how she felt (
D) can wait until the immediate safety concerns are addressed.
Question 4 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A non-coring needle. This type of needle is specifically designed for accessing implanted venous access ports as it minimizes the risk of damaging the septum or causing coring. Coring can lead to complications such as infection or damage to the port.
- A: An angiocatheter is not typically used for accessing implanted venous access ports as it may not be the most appropriate size or design for this purpose.
- B: A 25-gauge needle may not be suitable for accessing the port as it may not be designed to prevent coring.
- C: A butterfly needle is not the recommended choice for accessing an implanted venous access port as it may not have the same design features as a non-coring needle.
Question 5 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 because removing the cap and placing it sterile-side up on a clean surface helps maintain the sterility of the solution. Placing the cap sterile-side up prevents contamination of the inside of the cap. This action ensures that the contents of the bottle remain sterile while allowing easy access to the solution during the procedure.
In contrast, option B is incorrect because placing sterile gauze over spilled solution within the sterile field may introduce non-sterile material into the field. Option C is incorrect as holding the bottle in the center of the sterile field may increase the risk of accidental contamination. Option D is incorrect because holding the irrigation solution bottle with the label facing away from the palm of the hand does not ensure the sterility of the solution.