ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
Correct Answer: C
Rationale: The correct answer is C: Role overload. This is because the partner is feeling overwhelmed with managing household responsibilities alongside caring for their partner with dementia, indicating an excessive amount of roles to fulfill. Role overload occurs when an individual is faced with too many responsibilities and not enough time or resources to fulfill them all effectively.
A: Role ambiguity refers to uncertainty about one's responsibilities or expectations in a role, which is not the case in this scenario.
B: Sick role is when an individual takes on the identity of being sick and may rely on others for help, which does not align with the partner's situation.
D: Role conflict is when there are conflicting demands between different roles, which is not the primary issue here.
In summary, the partner is experiencing role overload because they are struggling to balance multiple responsibilities, leading to feelings of frustration and stress.
Question 2 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Sodium 130 mEq/L. A sodium level of 130 mEq/L is considered hyponatremia, indicating low sodium concentration in the blood which can lead to neurological symptoms like confusion and seizures. The nurse should report this finding to the provider for further evaluation and treatment.
Choice B: Creatinine 1.0 mg/dL is within the normal range and does not indicate a fluid or electrolyte imbalance.
Choice C: Sodium 135 mEq/L is within the normal range and does not require immediate reporting.
Choice D: Potassium 5.4 mEq/L is slightly elevated but not as critical as hyponatremia. It may indicate hyperkalemia, which can affect cardiac function but does not require immediate reporting in this case.
Question 3 of 5
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A - We would consult the person appointed by your health care proxy to make decisions.
Rationale: In this situation, the client has a living will indicating a preference to decline resuscitation. By consulting the health care proxy appointed by the client, the healthcare team ensures that the client's wishes are respected and appropriate decisions are made in line with the client's preferences. This approach upholds the client's autonomy and ensures that their end-of-life care is managed according to their expressed desires.
Incorrect
Choices:
B: We would give you oxygen through a tube in your nose. - This response does not address the client's specific question about the living will and resuscitation preferences.
C: You would be unable to change your previous wishes about your care. - This response is not accurate as clients have the right to modify their living will and advance directives.
D: We would insert a breathing tube while we evaluate your condition. - This response does not acknowledge the client's wishes regarding res
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.
Question 5 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to help relieve pain. However, in the case of herpes zoster, also known as shingles, which is a viral infection affecting the nerves and causing a painful rash, there is a risk of spreading the virus through the insertion of needles. This could potentially worsen the condition and lead to complications.
Therefore, acupuncture is contraindicated for clients with herpes zoster.
A: Biofeedback, B: Aloe, and C: Reflexology are generally considered safe complementary therapies for pain control and do not pose a risk of spreading the virus in the case of herpes zoster. Biofeedback helps individuals learn to control physiological processes, aloe has soothing properties, and reflexology involves applying pressure to specific points on the feet or hands to promote relaxation and pain relief.