ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Pad the client's wrist before applying the restraints. This is crucial to prevent skin breakdown and ensure the client's comfort. Padding helps distribute pressure and reduces the risk of injury. Option B is incorrect because evaluating circulation every 8 hours is not frequent enough to monitor for potential complications. Option C is incorrect as restraints should be removed every 2 hours, not every 4 hours, to assess the client's status. Option D is incorrect because securing restraint ties to the bed's side rails is unsafe and can lead to injury. It is important to prioritize client safety and comfort when using restraints.
Question 2 of 5
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I am available to talk if you should change your mind." This response demonstrates empathy, support, and readiness to provide assistance. By offering to talk if the client changes their mind, the nurse is acknowledging the client's autonomy in decision-making and providing an open invitation for further discussion. This approach respects the client's current choice while also ensuring the availability of emotional support if needed.
Other choices are incorrect:
A: This response prioritizes documentation over the client's emotional well-being.
B: This statement may provide false reassurance and does not address the client's emotional needs.
D: While support groups can be beneficial, making this referral without the client's consent or request may not be appropriate at this stage.
E, F, G: These options are not provided in the question, so they are irrelevant.
Question 3 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale: The correct choices are A, B, C, and E.
A) Wearing an N95 mask is essential for respiratory protection.
B) Placing a container for soiled linens in the room prevents contamination.
C) Isolating the client in a negative airflow room helps prevent the spread of airborne pathogens. E) Wearing a sterile water-resistant gown within 3 feet of the client reduces the risk of contact transmission.
D) Removing the mask after exiting the room increases the chance of self-contamination. Thus, D is incorrect. Option F and G are not provided in the question.
Question 4 of 5
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will hire someone to trim the tree that hangs low over the stairs of my front porch." This statement shows an understanding of safety precautions when using a walker. Trimming the tree will prevent any potential hazards or obstacles that could hinder the client's safe movement with the walker. Placing an extension cord (choice
A) can lead to tripping, placing the alarm clock across the room (choice
C) is not directly related to walker safety, and replacing a rug (choice
D) addresses a different safety concern. Hiring someone to trim the tree directly addresses the safety issue posed by the low-hanging tree branches, making it the most appropriate choice.
Question 5 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B. The nurse's priority is to determine the reasons why the client is refusing to use the incentive spirometer. By understanding the client's concerns or fears, the nurse can address them effectively. This approach promotes client-centered care and helps in creating a supportive environment for the client's recovery. Requesting a respiratory therapist (choice
A) is not the priority as the client's refusal needs to be addressed first. Documenting the client's refusal (choice
C) is important but does not address the underlying issue. Administering pain medication (choice
D) is not the priority as it does not address the client's refusal.