ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is conducting an assessment of a client that has been admitted to a medical unit in the hospital for treatment of pneumonia. Which action will the nurse take when conducting the respiratory assessment of this client?
Correct Answer: B
Rationale: Document 'impaired oxygenation' on the nursing care plan: While this may be appropriate based on assessment findings, it's premature to document without conducting a thorough assessment first. Auscultate the chest for breath sounds: This is a critical component of assessing respiratory function, especially in a client with pneumonia, to identify abnormal breath sounds such as crackles or diminished breath sounds. Collaborate with the client to form goals: Goal setting typically comes after assessment data is collected and analyzed. Apply supplemental oxygen by face mask as needed: This action should be based on assessment findings indicating the need for oxygen therapy, not assumed without assessment.
Question 2 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: Sheepskin heel pad: A sheepskin heel pad provides cushioning to prevent pressure ulcers but does not prevent plantar flexion contractures as it does not keep the foot in a neutral position. Abduction pillow: An abduction pillow is used to maintain hip abduction and alignment, typically after hip surgery. It does not address foot positioning or prevent plantar flexion. Footboard: A footboard helps maintain the feet in dorsiflexion, preventing plantar flexion contractures. It keeps the feet at a 90-degree angle to the legs, which is essential for preventing contractures. Trochanter roll: A trochanter roll is used to maintain the alignment of the hips and prevent external rotation of the legs. It does not prevent plantar flexion contractures.
Question 3 of 5
A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?
Correct Answer: B
Rationale: Do you smoke?' This is a closed-ended question that can be answered with a simple 'yes' or 'no.' It doesn't encourage elaboration or detailed responses. 'How are you feeling?' This is an open-ended question that encourages the client to provide more detailed and descriptive responses about their current state or feelings. It allows the client to share more information and gives the nurse a better understanding of their condition. 'Are you feeling well?' Similar to option A, this is a closed-ended question. It prompts a 'yes' or 'no' answer without inviting further discussion or detailed explanation. 'Do you use any illicit drugs?' This is another closed-ended question that requires a 'yes' or 'no' answer. It does not provide the opportunity for the client to discuss their drug use in detail.
Question 4 of 5
A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is $85 \%$. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Administer oxygen at $2 \mathrm{~L} / \mathrm{min}$ : Administering oxygen is important but should be done after positioning the client to improve natural ventilation. Raise the head of the bed: Raising the head of the bed is the first action to take as it facilitates better lung expansion and improves ventilation. This can help increase the oxygen saturation more immediately and effectively. Encourage coughing and deep breathing: Encouraging coughing and deep breathing is also beneficial to help clear secretions and improve lung function, but positioning the client for optimal breathing should be prioritized first. Administer prescribed analgesic medication. Administering analgesics may be necessary for pain management, but it does not directly address the immediate need to improve oxygen saturation.
Question 5 of 5
To what is a person referring when during an interview the person says,"I am a member of the sandwich generation?
Correct Answer: B
Rationale: Has both older and younger siblings: This does not specifically relate to the 'sandwich generation' concept. Cares for children and aging parents at the same time: The term 'sandwich generation' refers to individuals who are simultaneously caring for their own children and their aging parents. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the 'sandwich generation.' Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.