ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Correct Answer: D
Rationale: Wrapping the finger in a warm cloth helps improve blood flow and can facilitate the blood sample collection. Rubbing the fingertip with an alcohol pad cleans the site before the puncture. Puncturing the side of the fingertip is not the recommended site for a capillary finger stick. The recommended site is the center of the fleshy pad of the fingertip. Elevating the finger above heart level can assist in increasing blood flow to the fingertip.
Question 2 of 5
A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain nausea and vomiting for the past 2 days. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Palpating the abdomen may exacerbate pain or cause discomfort and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus which can contribute to the client's symptoms. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.
Question 3 of 5
A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 4 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.
Question 5 of 5
A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?
Correct Answer: B
Rationale: Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.