ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the 'E' in the NURSE mnemonic?
Correct Answer: A
Rationale: The 'E' in NURSE stands for empathize. Saying 'It sounds like you are exhausted' acknowledges and validates the client’s feelings of being overwhelmed, showing empathy. Other responses encourage dialogue or offer support but don’t directly empathize.
Question 2 of 5
A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (Select All that Apply)
Correct Answer: A,B,C,D
Rationale: Bright light disrupts melatonin production, delaying sleep. Evening caffeine blocks adenosine, reducing sleepiness. A 20-minute nap, especially late in the day, can reduce nighttime sleep drive. Emotional stress increases alertness, hindering sleep. A regular bedtime schedule reinforces the sleep-wake cycle, not disrupts it.
Question 3 of 5
A nurse is teaching a client about using a PCA device for postoperative pain management. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The PCA allows the client to control pain medication administration within safe limits, promoting autonomy. Medication is intravenous, not intramuscular, only the client should use it, and doses are controlled, not large.
Question 4 of 5
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?
Correct Answer: B
Rationale: Decreased breath sounds in the lower lobes suggest atelectasis, a collapse of lung tissue common in immobile clients due to reduced lung expansion. Gastric emptying, infections, and pulmonary edema have different symptoms.
Question 5 of 5
The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?
Correct Answer: B
Rationale: Using a dedicated blood pressure cuff prevents cross-contamination between patients, a key measure for contact precautions. Negative airflow is for airborne precautions, and PPE is standard but less specific to equipment. Safe transport is important but not primary.