ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I will repeat these movements 3 to 5 times." This is the best choice because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Moving joints quickly (
A) may cause injury. Performing the exercises only once per day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
C) can lead to discomfort and potential harm.
Therefore, option D is the most appropriate for promoting joint mobility and preventing complications.
Question 2 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: C
Rationale: The correct answer is C: Eat a light carbohydrate snack before bedtime. Carbohydrates can increase the production of serotonin, a neurotransmitter that helps regulate sleep. This can promote relaxation and aid in falling asleep. Napping during the day (choice
A) can make it harder to sleep at night. Exercising close to bedtime (choice
B) can increase alertness and make it difficult to fall asleep. Drinking hot cocoa (choice
D) can also contain caffeine, which can disrupt sleep.
Extract:
Exibit 1
Medical History
0800:
Client has a history of hyperlipidemia, rheumatoid arthritis, and hypertension. Client has a BMI of 32.
Client has a family history of colon cancer.
Exibit 2
Cholestrol 250mg/Dl (Less than 200mg/Dl) Fasting glucose 100mg/dL (70 to 110mg/Dl)
Question 3 of 5
A nurse is caring for a client. Which of the following findings from the client’s history places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,C,D,F
Rationale: A: History of hypertension - Hypertension is a major risk factor for heart disease as it increases the workload on the heart and can lead to damage over time.
C: Cholesterol level - High cholesterol levels, especially LDL cholesterol, can contribute to the development of atherosclerosis and increase the risk of heart disease.
D: History of hyperlipidemia - Hyperlipidemia is characterized by high levels of fats in the blood, such as cholesterol and triglycerides, which can lead to the formation of plaques in the arteries, increasing the risk of heart disease.
F: Family history - Having a family history of heart disease indicates a genetic predisposition and can increase the likelihood of developing heart disease due to shared genetic and lifestyle factors.
Incorrect choices: B - Rheumatoid arthritis is an autoimmune disease that primarily affects the joints and does not directly increase the risk of heart disease. E - Fasting glucose level is more related to diabetes risk than heart disease risk.
Extract:
Question 4 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In emergency situations where a client is unconscious and requires immediate surgery to prevent harm or save their life, healthcare providers are ethically obligated to act in the client's best interest. This principle, known as beneficence, allows healthcare professionals to provide necessary care in emergency situations without prior consent. By preparing the client for surgery, the nurse ensures the client receives timely and potentially life-saving treatment. Obtaining consent from the surgeon (
B) is not appropriate as the surgeon cannot provide consent on behalf of the client. Contacting the facility's ethics committee (
C) may cause unnecessary delays in providing urgent care. Keeping the client stable until a family member arrives (
D) may jeopardize the client's health and violates the principle of beneficence.
Question 5 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Hold bottles of sterile solution with the label in the palm of the hand. This is important to maintain sterility as the label may come into contact with non-sterile surfaces. Holding the bottle this way prevents contamination. Pouring liquids into containers outside the sterile field (
A) can introduce contaminants. Placing the sterile field at the level of the nurse's hips (
B) may lead to contamination from non-sterile surfaces. Opening the outermost flap of the sterile kit toward the body (
D) risks contamination as well. Placing the client in high-Fowler's position (E) is unrelated to setting up a sterile field.