ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This is important in diabetes foot care to prevent moisture accumulation, reduce the risk of infections, and promote proper circulation. Soaking feet too often can lead to dry skin and potential skin breakdown. Rounding toenails can cause ingrown toenails. Using lotion between toes can create a moist environment, increasing the risk of fungal infections.
Therefore, the correct choice is D as it promotes good foot hygiene and reduces the risk of complications for patients with diabetes.
Question 2 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.
Question 3 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: How to change the tracheostomy dressing using clean technique. This is important as it helps prevent infection and promotes healing. First, wash hands thoroughly.
Then, remove the old dressing, clean around the stoma with sterile saline, and apply a new sterile dressing. The other choices are incorrect because:
A) Operating the suction machine should only be done by healthcare professionals.
B) Securing the tracheostomy tube is essential but not the priority in this scenario.
C) Changing the tracheostomy tube daily is not recommended unless there is a specific reason to do so, as it can cause trauma to the stoma.
Question 4 of 5
A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A non-coring needle. This type of needle is specifically designed for accessing implanted venous access ports as it minimizes the risk of damaging the septum or causing coring. Coring can lead to complications such as infection or damage to the port.
- A: An angiocatheter is not typically used for accessing implanted venous access ports as it may not be the most appropriate size or design for this purpose.
- B: A 25-gauge needle may not be suitable for accessing the port as it may not be designed to prevent coring.
- C: A butterfly needle is not the recommended choice for accessing an implanted venous access port as it may not have the same design features as a non-coring needle.
Question 5 of 5
A nurse is reinforcing teaching with a client who has insomnia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Limiting daily naps to 45 minutes can help improve nighttime sleep by reducing the drive to sleep during the day, promoting better sleep efficiency. This indicates an understanding of good sleep hygiene practices.
Summary of Incorrect
Choices:
A: Turning on the ceiling fan might help with white noise, but it does not address the underlying issue of insomnia.
C: Green tea contains caffeine, which can actually interfere with sleep and worsen insomnia.
D: Getting out of bed if unable to fall asleep within an hour can reinforce negative sleep associations and disrupt sleep patterns.