ATI RN
ATI RN Fundamentals Exam 6 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: A
Rationale: The client's belief that his needs will be met through education reflects intrinsic motivation which is likely to enhance the client's commitment to learning and self-care. Seeking family approval may be a motivator but it is an external factor and intrinsic motivation is generally more effective for sustained behavior change. While the nurse explaining the need for education is important the client's personal belief and understanding of the value of education are key for motivation. The nurse's empathy is essential for building rapport but the client's belief in the benefits of education is more directly related to motivation.
Question 2 of 5
A nurse is planning care for an older adult client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Applying a moisture barrier helps protect the skin from irritation and breakdown due to prolonged exposure to moisture. Cleansing the skin with antibacterial soap and hot water may be too harsh and can contribute to skin irritation; gentle cleaning with a mild cleanser is preferable.
Toileting the client every 4 hours may not be frequent enough to prevent skin breakdown; a more frequent toileting schedule should be implemented. Reducing the client's daily fluid intake is not a recommended intervention for urinary incontinence as it may lead to dehydration and other health issues.
Question 3 of 5
A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Date of birth is a commonly used identifier to confirm the client's identity. Diagnosis is not an appropriate identifier for confirming a client's identity. Identification number is a unique identifier assigned to each client helping ensure accurate identification. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity. Room number is not an appropriate identifier for confirming a client's identity.
Question 4 of 5
The parent of a toddler is concerned that his child has suddenly become disinterested in certain foods. Which of the following statements is the appropriate response by the nurse?
Correct Answer: C
Rationale: Encouraging feeding anything the child will eat might lead to poor nutrition. It's important to ensure a balanced diet. Acknowledging the concern is valid but the nurse should provide guidance rather than just expressing concern. This response acknowledges the concern but reassures the parent that if the child appears healthy no immediate intervention is necessary promoting a balanced approach. Increasing calories and water without a specific reason or assessment may not address the underlying issue and is not the initial recommended intervention.
Question 5 of 5
To plan culturally competent care a nurse should consider that:
Correct Answer: D
Rationale: While some clients may be receptive to a scientific perspective cultural beliefs and practices can significantly influence health-related decisions and behaviors. Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group. Disease and illness can indeed be influenced by cultural factors including beliefs about health and healing practices. The meaning of behavior can vary widely across cultures and understanding the cultural context is crucial for providing culturally competent care.