ATI RN Fundamentals Updated 2023 Exam | Nurselytic

Correct Answer: A

Rationale: The correct answer is A. The client's belief that his needs will be met through education is likely to increase motivation to learn because it aligns with the concept of self-determination theory. This theory posits that individuals are motivated when they perceive that their needs for autonomy, competence, and relatedness are met. In this case, the client believing that his needs will be met through education satisfies his need for competence in managing his health.

Choice B is incorrect because simply being told the need for education may not necessarily increase motivation without the client perceiving a personal benefit.
Choice C is incorrect as seeking family approval is an external motivator and may not necessarily lead to sustained motivation.
Choice D is incorrect as empathy from the nurse, while important, may not directly impact the client's motivation to learn.

Correct Answer: D

Rationale: The correct answer is D: Auscultate bowel sounds. This is the first action the nurse should take as it can provide crucial information about the client's condition, particularly in suspected appendicitis. Absence of bowel sounds in the right lower quadrant may indicate an inflamed appendix, requiring immediate medical attention. Administering an antiemetic (choice
A) or pain medication (choice
B) without assessing the bowel sounds first could mask important symptoms. Palpating the abdomen (choice
C) can potentially worsen the client's condition if appendicitis is present.
Therefore, auscultating bowel sounds is the priority to guide further assessment and intervention.

Correct Answer: C

Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.

Correct Answer: B

Rationale: The correct answer is B: Decreased sense of balance. As people age, their sense of balance tends to decrease due to changes in vision, inner ear function, muscle strength, and joint flexibility. This can increase the risk of falls and injuries in older adults. The other choices are incorrect because heightened sense of pain (
A) is not a typical finding in older adults, increased nighttime sleeping (
C) may occur but it is not a universal finding, and nighttime urinary incontinence (
D) is common but not a definitive finding in all older adults.

Correct Answer: C

Rationale: The correct answer is C: Hold the syringe so that bubbles collect at the level of the plunger. This is important to prevent air bubbles from being injected into the client, as they can cause harm. By holding the syringe in a way that allows any air bubbles to collect at the top near the plunger, the nurse can easily push them out before administering the medication.


Choice A is incorrect because injecting air into the vial with the needle immersed in the fluid can introduce air bubbles into the vial.
Choice B is incorrect as holding the syringe at a 45° angle does not specifically address the issue of air bubbles.
Choice D is incorrect as holding the vial with the top facing upward while injecting air can lead to air bubbles being pushed into the vial instead of out.