ATI RN
ATI RN Fundamentals 2023 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: C
Rationale: The correct answer is C: "I will repeat these movements 3 to 5 times." This is the appropriate statement because passive range-of-motion exercises should be repeated multiple times to maintain joint mobility without causing excessive stress on the joints. Option A is incorrect because moving the joints to the point of mild pain can cause discomfort and potential harm. Option B is incorrect as moving the joints quickly may lead to strain or injury. Option D is incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to prevent joint stiffness.
Question 2 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will walk three times per week." Walking is weight-bearing exercise, which helps build bone density and reduce the risk of osteoporosis. Weight-bearing exercises stimulate bone growth and strengthen bones. This statement indicates that the client understands the importance of physical activity in maintaining bone health.
Incorrect
Choices:
A: Avoiding exposure to the sun is not recommended as sunlight exposure helps the body produce Vitamin D, essential for calcium absorption.
B: Decreasing intake of dairy products can lead to a lack of calcium, which is crucial for bone health.
D: Taking only 250 milligrams of calcium once per day is insufficient for most older adults who require higher doses to maintain bone health.
Question 3 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube, ensuring proper airway patency. Using a collar with hook-and-loop fasteners allows for secure but adjustable placement, accommodating variations in neck size and minimizing the risk of pressure injuries. A: Wearing clean gloves during inner cannula cleaning is essential for infection control but not directly related to securing the tracheostomy. B: Placing a gauze pad under the flanges helps absorb secretions but does not directly address securing the tracheostomy. C: Cleansing the skin with hydrogen peroxide can be too harsh and irritating; a milder solution like saline is preferred.
Question 4 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: B
Rationale: The correct answer is B: Right lateral in Trendelenburg position. Placing the client in a right lateral position helps target the left lower-lobe atelectasis by allowing drainage of secretions from that specific area. Trendelenburg position further aids in promoting drainage due to the head being lower than the feet, assisting gravity in moving secretions. Other options are incorrect as they do not provide the specific positioning needed to target the left lower-lobe atelectasis effectively. Side-lying with the right side of the chest elevated would not facilitate drainage from the affected lobe. Placing the client prone with pillows under the lower extremities or supine in low-Fowler's position would not target the specific area requiring drainage.
Question 5 of 5
A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I can give you the contact information for someone to assist you with recovering your password." This is the best option because it promotes confidentiality and adheres to ethical standards. It avoids sharing personal login information, which can breach security protocols and potentially result in disciplinary actions. By providing contact information for password recovery assistance, the nurse is directing the colleague towards the appropriate channels for resolving the issue. This approach upholds professionalism and accountability.
Other
Choices:
A: Seeing the supervisor for a temporary password may not be the most efficient or secure method for resolving a forgotten password issue.
B: Providing client information to the charge nurse for documentation is inappropriate and could compromise patient privacy.
D: Allowing another nurse to use one's own password is a violation of security policies and sets a risky precedent for future incidents.