ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Exhaling slowly through pursed lips creates backpressure keeping airways open and improving oxygen exchange in COPD. Lying down restricts lung expansion inhaling through pursed lips is incorrect and puffing cheeks is ineffective.
Question 2 of 5
A home health care nurse is conducting a fall risk assessment for a client who has osteoarthritis and lives alone. The nurse should identify that which of the following factors creates a risk for falls?
Correct Answer: D
Rationale: Throw rugs on hardwood floors pose a tripping hazard especially for those with mobility issues like osteoarthritis. Furniture and bedside tables are less risky and raised toilet seats aid mobility not increase fall risk.
Question 3 of 5
A nurse receives a telephone call from a client's family member,who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?
Correct Answer: C
Rationale: Referring the family member to the client's provider ensures that accurate and appropriate information is shared by the authorized source maintaining confidentiality and adhering to privacy regulations. Requesting the caller's relationship does not fully address confidentiality concerns. Providing a general update over the phone risks disclosing sensitive information. Encouraging direct contact with the client may compromise privacy if the client does not wish to share details.
Question 4 of 5
A nurse is teaching a client about self-administering a subcutaneous injection to the abdomen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Expelling air bubbles from a prefilled syringe ensures accurate dosing preventing underdosing. A 5 cm site selection varies aspiration is unnecessary for subcutaneous injections and a 15° angle is incorrect; 45° or 90° is standard.
Question 5 of 5
A nurse is planning to assist a client who has left-sided weakness to ambulate using a gait belt. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Sitting for 60 seconds prevents orthostatic hypotension ensuring safe ambulation. Walking on the right side is incorrect (should be left) looking down risks falls and the gait belt goes around the waist not chest.