ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Pudding. Pudding is part of a full liquid diet, which includes foods that are liquid at room temperature and don't require chewing. This demonstrates understanding of the progression from a clear liquid diet to a full liquid diet. Bananas (
A) and cooked vegetables (
B) require chewing and are not part of a full liquid diet. Yogurt with fruit (
C) contains solid pieces of fruit, which may not be suitable for a full liquid diet. In summary, pudding is the appropriate choice as it aligns with the requirements of a full liquid diet, while the other options do not meet this criteria.
Question 2 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: The correct answer is C: Gloves. The nurse should remove gloves first because they are the most likely to be contaminated. Removing gloves first prevents cross-contamination when touching other parts of the PPE. Removing the gown next helps prevent contamination of the nurse's clothing. Eyewear and mask should be removed last as they provide protection to the nurse's mucous membranes. Removing the mask last ensures protection of the nurse's respiratory system.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: B
Rationale: The correct answer is B: Metabolic syndrome. Metabolic syndrome includes risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, all of which increase the risk of cardiovascular disease. Competitive sports (
A) generally reduce the risk of heart disease by promoting physical fitness. Family history of alcohol use disorder (
C) is not directly linked to cardiovascular disease risk. Hypotension (
D) is low blood pressure and is not a risk factor for cardiovascular disease.
Question 4 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We can discuss what you can expect during your stay." This statement acknowledges the client's feelings of anxiety and offers support by providing information to help alleviate their fears. It promotes open communication, builds trust, and empowers the client by involving them in the care process. It also addresses the client's need for information and helps them feel more prepared for their stay.
Choice A is incorrect as it focuses on the client's fear rather than providing reassurance or support.
Choice B is incorrect as it generalizes the client's feelings without addressing their specific concerns.
Choice C is incorrect as it dismisses the client's anxiety without offering any information or support.
Question 5 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: A
Rationale:
Correct
Answer: A. A nurse administers a medication without first identifying the client.
Rationale:
1. Negligence involves failing to provide care that meets the standard of care expected in a particular situation.
2. Administering medication without first identifying the client violates the standard of care and can lead to serious harm.
3. Proper identification of the client is a fundamental safety measure to ensure correct medication administration.
4. Failure to identify the client can result in medication errors, adverse reactions, and potential harm to the client.
Summary of Incorrect
Choices:
B. Preventing a client from leaving the facility may be related to safety concerns but does not directly involve negligence.
C. Beginning a blood transfusion without consent is a violation of the client's rights but not a clear example of negligence.
D. Discussing client care in a public area may breach confidentiality but does not directly relate to negligence in client care.