ATI RN
ATI RN Fundamentals 2023 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:
Correct Answer: B
Rationale: The client's belief that his needs will be met through education is the most likely factor to increase motivation. When the client perceives that the education will help address his needs, he will be more motivated to learn and engage in the self-administration process. This belief reinforces the client's understanding of the benefits of learning and empowers him to take control of his health.
Summary of other choices:
A: While the nurse explaining the need for education is important, it may not necessarily increase the client's motivation as much as the client's belief in meeting his needs through education.
C: The nurse's empathy is crucial for building rapport and trust, but it may not directly impact the client's motivation to learn.
D: Seeking family approval can influence behavior, but it may not be the most significant factor in increasing motivation compared to the client's belief in meeting his needs through education.
Question 2 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the family if they wish to assist in washing the client's body. This action is important as it involves the family in the care of their loved one, allowing them to participate in the process and find closure. It also respects cultural and religious beliefs related to death rituals.
Choice A is incorrect because turning the overhead lights to a bright setting may not be appropriate for a sensitive and respectful environment during postmortem care.
Choice C is incorrect because removing the client's dentures without the family's consent may cause distress or be against their wishes.
Choice D is incorrect because leaving the client's eyes open until the family views the body may not be culturally or emotionally appropriate for the family and may cause unnecessary discomfort.
Question 3 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 after a dressing change to prevent contamination of other surfaces. Gloves are the primary barrier protecting the nurse from direct contact with bodily fluids. Removing gloves first helps minimize the risk of spreading pathogens. Removing eyewear, mask, or gown first could potentially expose the nurse to airborne pathogens or splash contamination. Removing the mask or gown first could also lead to contamination of the nurse's face or clothing. Removing gloves first ensures proper infection control practices are followed.
Question 4 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: The correct answer is A. The area rug covering a tile floor is a safety hazard for the client with osteoporosis as it increases the risk of falls. The uneven surface can cause tripping and slipping accidents, leading to fractures. The other choices are safe practices. B: Grab bars in the shower promote stability and prevent falls. C: Using a medication organizer ensures proper medication management. D: Setting the hot water heater at 47°C prevents scalding injuries.
Question 5 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Use trochanter rolls beside the client's legs. Trochanter rolls help maintain proper alignment of the hips and prevent external rotation of the legs, reducing the risk of pressure ulcers and hip dislocation. Logrolling (choice
A) is not necessary unless specifically indicated for spinal precautions. Placing the client's arms at their side (choice
C) may restrict circulation and lead to discomfort. Crossing the client's ankles (choice
D) could cause pressure ulcers and impair circulation.