ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Logrolling will keep your spine in alignment. Logrolling is a technique used to move a client as a single unit to prevent twisting or bending of the spine. Keeping the spine in alignment is crucial to prevent injury, especially in clients with spinal cord injuries or after spinal surgery.
Choice A is incorrect because logrolling is more about maintaining proper body alignment than preventing friction.
Choice B is incorrect as the client should actually use their arms to assist in the movement.
Choice C is incorrect as elevating the head of the bed is not essential for logrolling.
Question 2 of 5
A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The correct order for assessing a client's abdomen is A, B, C, D, E. First, observing the abdomen with a penlight helps assess skin condition, scars, and distension. Second, using a stethoscope to listen for bowel sounds provides information on gastrointestinal motility. Third, systematically percussing the abdomen helps identify areas of dullness or tympany. Fourth, lightly depressing the right lower quadrant helps assess for tenderness or pain. Lastly, pressing deeply into the upper left abdomen detects aortic pulsation, which is crucial for identifying potential abnormalities. This sequence ensures a comprehensive and systematic assessment. Other choices are incorrect as they do not follow a logical progression of assessment steps.
Question 3 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 4 of 5
During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is D: Obtain the client's type and cross-match. This is the priority because ensuring that the client has the necessary blood products available for surgery is crucial for their safety. By obtaining the type and cross-match promptly, the nurse can address the oversight and prevent any potential harm to the client during the surgery.
Informing the provider (
A) can be done after obtaining the type and cross-match to update them on the situation. Documenting the incident (
B) in the client's medical record is important but should not take precedence over ensuring the client's safety. Similarly, preparing an incident report (
C) for risk management is important for quality improvement but can be done after addressing the immediate issue.
Question 5 of 5
A nurse is preparing to lift a box of personal items off the floor in a client's room. Which of the following actions should the nurse take to help prevent injury when lifting the box?
Correct Answer: B
Rationale:
Correct Answer: B. When lifting the box, keep it close to the body.
Rationale: Keeping the box close to the body reduces the strain on the back muscles and minimizes the risk of injury. When lifting objects, the closer they are to the body, the less force is required to lift them. This decreases the stress on the lower back and reduces the chance of muscle strain or injury. By keeping the box close, the nurse can utilize the strength of their legs and core muscles, rather than relying solely on the lower back, which is more prone to injury.
Summary of other choices:
A: Bending at the waist to pick up the box increases the risk of back injury as it puts excessive strain on the lower back.
C: Keeping the feet close together while lifting does not provide stability and balance, increasing the risk of losing balance and injury.
D: Relaxing the abdominal muscles while lifting can lead to poor posture and an increased risk of back strain and injury.