ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: B
Rationale: The correct answer is B because when a client believes that their needs will be met through education, they are more likely to be motivated to learn. This belief creates a sense of purpose and relevance, driving the client to engage in the learning process.
Explanation of other options:
A: While it's important for the nurse to explain the need for education, this may not directly increase the client's motivation if they don't see the relevance to their needs.
C: Seeking family approval may provide external motivation but may not necessarily lead to intrinsic motivation for learning.
D: Nurse empathy is important for building rapport but may not be the primary factor in increasing motivation to learn.
Question 2 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product's compatibility with the client's blood type. This is crucial to prevent a potentially life-threatening transfusion reaction. The nurse must verify that the blood product matches the client's blood type to avoid hemolysis. Checking for compatibility ensures that the client's immune system will not attack the transfused blood cells.
Choices B, C, and D are incorrect:
B: Checking for a small gauge IV catheter is important for administering blood products, but it is not the priority before the start of the infusion.
C: Confirming the client's identity with the blood bank technician is essential but does not directly relate to the safety of the transfusion.
D: Priming the IV tubing with lactated Ringer's is not necessary as the packed RBCs should be administered with a separate tubing set to prevent any potential interactions.
Question 3 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 4 of 5
I can give you the contact information for someone to assist you with recovering your password.' Which of the following responses should the nurse make to a newly licensed nurse who forgot their computer password?
Correct Answer: D
Rationale: The correct answer is D because it follows proper security protocols. By providing the contact information for someone to assist with password recovery, the nurse is ensuring that the process is handled by the appropriate personnel trained in password security.
Choice A is incorrect as sharing client information with the charge nurse is not relevant to password recovery.
Choice B is incorrect as sharing personal passwords is a security risk.
Choice C is incorrect as going to the supervisor for a temporary password may not be the standard procedure and could potentially compromise security.
Question 5 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A. "Have you thought about harming yourself?"
Rationale: This response is crucial in assessing the client's risk of suicide. It shows the nurse's immediate concern for the client's safety and opens a dialogue to understand the severity of the client's suicidal ideation. By directly addressing the client's statement about wanting to die, the nurse can determine the level of risk and take appropriate actions to ensure the client's safety.
Incorrect
Choices:
B: "Tell me more about your partner." - This response does not address the immediate concern of suicidal ideation and misses the opportunity to assess the client's safety.
C: "You should discuss these feelings with your provider." - While important, this response does not address the urgent need to assess the client's risk of harm to self.
D: "Why did you stop taking your medication?" - While medication adherence is important, the client's statement about wanting to die takes precedence in this situation.