ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should see the client with a new onset of dyspnea after a total hip arthroplasty first because it could indicate a pulmonary embolism, a potentially life-threatening complication post-surgery. Dyspnea can be a sign of inadequate oxygenation, which needs immediate assessment and intervention to prevent serious complications. Option B, a urinary tract infection with low-grade fever, can be managed with appropriate antibiotics and does not require immediate attention. Option C, acute abdominal pain of 4 on a scale of 0 to 10, may require evaluation but does not pose an immediate life-threatening risk. Option D, pneumonia with an oxygen saturation of 96%, indicates adequate oxygenation and can be monitored closely without immediate intervention.
Question 2 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 because weight-bearing exercises like walking help strengthen bones and reduce the risk of osteoporosis. Walking three times a week is a good frequency for maintaining bone health.
Choice B is incorrect because sunlight exposure is necessary for vitamin D production, which aids in calcium absorption for bone health.
Choice C is incorrect as the recommended daily calcium intake for older adults is higher than 250mg.
Choice D is incorrect as dairy products are a good source of calcium essential for bone strength.
Question 3 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep the collection bag below bladder level. This is crucial to prevent backflow of urine into the bladder, reducing the risk of infection. Keeping the collection bag below bladder level ensures a continuous flow of urine out of the bladder and into the bag, minimizing the chances of bacterial migration.
Other choices are incorrect:
A: Using a size 20 French catheter is not directly related to decreasing infection risk.
B: Allowing the drainage bag to fill completely before emptying can increase the risk of infection due to stagnant urine.
C: Disconnecting the drainage tube for catheter irrigation can introduce bacteria into the system.
Overall, maintaining proper positioning of the collection bag is key in preventing catheter-associated urinary tract infections.
Question 4 of 5
A nurse is caring for a client who is exhibiting violent behavior and requires the application of wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A: Attach the restraints using a quick-release tie.
Rationale: Using a quick-release tie allows for quick removal in case of an emergency, ensuring the client's safety. It prevents harm and allows for easy access in case the client needs to be freed promptly. This action aligns with client safety protocols and ethical considerations.
Summary of other choices:
B: Contacting the provider for a PRN prescription may cause a delay in applying restraints, risking harm to the client.
C: Securing restraints to a side rail can lead to entrapment and pose a safety hazard.
D: Leaving enough room for three fingers does not secure the restraints adequately, risking the client's safety.
Question 5 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Keep suction equipment available in the client's room. During a seizure, a client may experience excessive secretions or vomiting, which can lead to airway obstruction. Having suction equipment readily available allows for prompt intervention to maintain a clear airway and prevent aspiration.
A: Having a padded tongue blade available is not recommended as it can cause injury during a seizure.
B: Keeping all four side rails down can restrict movement and potentially cause injury during a seizure.
D: Having wire cutters available is unnecessary and not relevant to managing a seizure.