ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?
Correct Answer: C
Rationale: The correct answer is C: Capillary refill 4 seconds. Cold application constricts blood vessels, potentially further reducing blood flow. A capillary refill time of 4 seconds indicates poor circulation, and applying cold could worsen the issue. Pitting edema (choice
A) and bruising (choice
B) do not directly contraindicate cold application as long as there is no compromise in circulation. Warts (choice
D) are not affected by cold therapy.
Question 2 of 5
A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance the development of suitable programs?
Correct Answer: A
Rationale: The correct answer is A because surveying the target population allows for gathering direct input from the older adults in the congregation, ensuring the programs are tailored to their specific interests and needs. This approach promotes community engagement, increases the likelihood of attendance, and ensures the relevance of the educational sessions.
Other choices are incorrect because:
B: Depending solely on the availability of health care providers may limit the topics covered and overlook the preferences of the target population.
C: Focusing solely on developmental stage may not address the diverse interests and concerns of older adults in the congregation.
D: While reviewing Healthy People 2020 Objectives is important, it may not capture the unique needs and preferences of the specific group being targeted.
Question 3 of 5
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?
Correct Answer: B
Rationale: The correct answer is B: Effectiveness of the last dose of pain medication. This is crucial information to ensure continuity of care and proper pain management for the client. It helps the receiving facility understand the client's current pain status and tailor their care accordingly. Frequency of previous vital sign measurement (
A) is important but not as critical as immediate pain management. Number of family members who have visited (
C) and time of the client's last bath (
D) are not directly related to the client's medical needs during the transfer and can be communicated later if necessary.
Question 4 of 5
A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Talk with the AP about the technique used. This is the first intervention the nurse should take because it addresses the immediate concern of potential exposure to pathogens due to not wearing gloves. By discussing the technique with the AP, the nurse can provide immediate feedback and education on the importance of wearing gloves to prevent the spread of infections. Providing the AP with a copy of the unit's policy (
A) may be necessary but is not the immediate priority. Notifying the charge nurse (
B) can be done after addressing the issue with the AP. Conducting an in-service on standard precautions (
D) is important for overall education but is not the first step in this situation.
Question 5 of 5
A nurse is caring for a client who has a temperature of 38.7°C (101.7°F). Which of the following nursing interventions is appropriate?
Correct Answer: A
Rationale:
Rationale: Option A is correct because keeping the client's bed linens dry helps maintain the client's body temperature. Wet linens can lead to heat loss and worsen the fever. Option B is incorrect as alcohol can increase heat loss and lead to hypothermia. Option C is incorrect as excessive fluid intake can overload the client's system. Option D is incorrect as applying ice packs can lead to vasoconstriction, increasing the risk of shivering and raising the core temperature.