ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?
Correct Answer: D
Rationale: Asking 'What can we do to accommodate your needs during your stay here?' respects the client's religious beliefs and opens a dialogue to develop a care plan that aligns with their values. Other options are dismissive or insensitive to the client's faith.
Question 2 of 5
The nurse is caring for two clients who both are in pain due to sickle cell anemia. One of the clients rates the pain as a 7 out of 10 (0 is no pain and 10 is the worst pain possible). This client is moving around easily and is eating well, but has asked for pain medication. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Pain is a subjective experience, and the client's report of pain should be respected and addressed promptly. If the pain medication is ordered and it has been longer than the ordered interval, the nurse should administer the medication as prescribed. In general, withholding pain medication for a client in pain is not an appropriate action. Administering half the ordered dose of pain medication without a healthcare provider's order is also not appropriate. The nurse should follow the healthcare provider's orders for pain medication administration and titration. It's also not appropriate to assume that the client is faking pain without adequate assessment and evidence to support such a claim.
Question 3 of 5
The role of a registered nurse in a genitalia examination is mainly:
Correct Answer: A
Rationale: The primary role of a registered nurse in a genitalia examination is inspection, visually assessing for abnormalities, lesions, or infections. Palpation may also be performed to check for tenderness or lumps, but auscultation and percussion are not typically used.
Question 4 of 5
The nurse is assessing the patient's ear. The correct procedure for straightening the ear canal of an adult is to pull the pinna…
Correct Answer: B
Rationale: For an adult, the correct method to straighten the ear canal during examination is to pull the pinna up and back. This maneuver aligns the ear canal for better visualization of the tympanic membrane and inner structures. Pulling down and back is appropriate for children under 3, while the other options do not correctly align the canal.
Question 5 of 5
In the SBAR reporting system, which of the following would be an example of a recommendation?
Correct Answer: B
Rationale: In the SBAR (Situation, Background, Assessment, Recommendation) reporting system, a recommendation involves suggesting a specific action or intervention. 'Ms. Choi needs to have a social construct' implies a recommended action, making it the correct choice. The other options provide situation, assessment, or background information but do not suggest a specific action.