ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State-based Nurse Practice Acts. Nurse Practice Acts are state laws that define the scope of nursing practice within each state. These acts outline the legal boundaries and responsibilities of nurses, including licensure requirements, patient care standards, and disciplinary actions. It is crucial for nurses to adhere to these laws to ensure safe and competent practice.
A: The National League for Nursing is an organization that focuses on nursing education standards, not the scope of practice.
B: The Joint Commission sets quality standards for healthcare organizations, not individual nursing practice.
C: The Patient's Bill of Rights outlines patients' rights and responsibilities in healthcare, not the scope of nursing practice.
Therefore, D is the correct answer as it directly pertains to the scope of nursing practice.
Question 2 of 5
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B is important to ensure the client signed the document voluntarily. C confirms the client was not coerced into signing. D is vital to ensure the client has the legal capacity to provide consent. A is incorrect as language proficiency does not impact the validity of consent. E is irrelevant as mental health conditions do not necessarily invalidate consent.
Question 3 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: The correct answer is B because clients with dysphagia are typically recommended to avoid using straws as they can increase the risk of aspiration. Thickened liquids are already a modification to make swallowing safer, so using a straw could negate that.
Choice A is correct as it promotes proper positioning for swallowing.
Choice C is acceptable as taking breaks can reduce the risk of aspiration.
Choice D is also correct as tucking the chin helps to protect the airway during swallowing.
Question 4 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should see the client with a new onset of dyspnea after a total hip arthroplasty first because it could indicate a pulmonary embolism, a potentially life-threatening complication post-surgery. Dyspnea can be a sign of inadequate oxygenation, which needs immediate assessment and intervention to prevent serious complications. Option B, a urinary tract infection with low-grade fever, can be managed with appropriate antibiotics and does not require immediate attention. Option C, acute abdominal pain of 4 on a scale of 0 to 10, may require evaluation but does not pose an immediate life-threatening risk. Option D, pneumonia with an oxygen saturation of 96%, indicates adequate oxygenation and can be monitored closely without immediate intervention.
Question 5 of 5
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Insert an indwelling urinary catheter and connect it to gravity drainage. In this situation, the client is showing signs of urinary retention, which can lead to serious complications if not addressed promptly. By inserting a urinary catheter, the nurse can help relieve the client's discomfort and prevent further complications such as bladder distention or urinary tract infections. Connecting it to gravity drainage allows for proper drainage of urine.
Choice A is incorrect because simply hearing running water may not be effective in helping the client void.
Choice B is incorrect as encouraging fluid intake may exacerbate the issue if the client is already having difficulty voiding.
Choice C is incorrect as providing a bedpan while lying supine is not an appropriate position for voiding. It may further hinder the client's ability to void.