ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: "I will walk three times per week." Weight-bearing exercises like walking help improve bone density and reduce the risk of osteoporosis. Walking stimulates the bones to retain calcium, making them stronger.
Choice B is incorrect because sunlight exposure is needed for vitamin D synthesis, important for calcium absorption.
Choice C is incorrect as dairy products provide essential calcium for bone health.
Choice D is incorrect because the recommended daily calcium intake is around 1000-1200 mg for older adults.
Extract:
A nurse is caring for a client who is scheduled for surgery.
Exhibit 1
Medical History
0800:
Client has a history of malnutrition, hyperlipidemia, and diabetes mellitus.
Mini Nutritional Assessment screening tool score of 7 points (0 to 14 points)
Question 2 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply
Correct Answer: A,C,E,F
Rationale: The correct answers are A, C, E, and F.
A: History of diabetes mellitus - Diabetes affects blood flow and impairs the immune system, leading to delayed wound healing.
C: Prealbumin level - Low prealbumin levels indicate malnutrition, which can hinder wound healing.
E: Mini Nutritional Assessment screening tool score - A low score indicates poor nutritional status, impacting wound healing.
F: History of malnutrition - Malnourished individuals lack essential nutrients needed for proper wound healing.
The incorrect choices:
B: Cholesterol level - Cholesterol levels do not directly impact wound healing.
D: History of hyperlipidemia - Hyperlipidemia does not necessarily affect wound healing.
Extract:
Question 3 of 5
A nurse is caring for a client who reports frequent headaches and believes balance is achieved through the concept of yin and yang. Which of the following foods should the nurse expect the client to choose to treat their headache?
Correct Answer: A
Rationale: The correct answer is A: Honey. In Traditional Chinese Medicine, honey is considered to have yin properties, which can help balance excessive yang energy causing headaches. Honey is sweet and moist, qualities associated with yin energy. Fresh vegetables (
B) are neutral, chicken (
C) is considered yang, and chili peppers (
D) are very yang, exacerbating headaches. Honey is the ideal choice to balance the client's yin and yang energies and alleviate the headaches.
Question 4 of 5
A nurse is caring for a client who has a terminal illness. The client states, 'I am not giving up. I want as much treatment as possible.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: I will contact your provider to discuss your options. This response is appropriate because it demonstrates respect for the client's wishes while also ensuring that the client receives the necessary information to make informed decisions about their care. By contacting the provider, the nurse can facilitate a discussion about the available treatment options, potential benefits, risks, and expected outcomes. This empowers the client to make choices that align with their values and goals.
A: Enjoy the time you have and do the things you want to do - This response may come off as dismissive of the client's desire for treatment and does not address the need for a discussion with the healthcare provider.
B: Hospice care is the best thing for you at this time - While hospice care may be appropriate for some clients with terminal illnesses, it should not be assumed without a thorough discussion with the client and their healthcare provider.
C: You need to understand that you have very little time left - This response is blunt and
Question 5 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: B
Rationale: The correct answer is B: "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 prevent joint stiffness and contractures. Repeating the movements helps maintain joint flexibility and circulation.
Explanation of why the other choices are incorrect:
A: "I will move your joints to the point of mild pain" - Incorrect because pain should be avoided during passive range-of-motion exercises to prevent injury and discomfort.
C: "I will move your joints quickly" - Incorrect because slow, controlled movements are recommended to prevent injury and ensure effectiveness.
D: "These movements will be performed once per day" - Incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to promote joint mobility and prevent stiffness.