ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum cult
Question 1 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: B
Rationale: The correct answer is B: Place a container for soiled linens inside the client's room. This is essential for infection control as it helps prevent the spread of pathogens. Soiled linens can harbor infectious organisms, so having a designated container inside the room reduces the risk of contamination to other areas. Option A is incorrect because an N95 mask is typically not required for standard isolation precautions. Option C is incorrect as negative airflow rooms are usually reserved for clients with airborne infections. Option D is incorrect because the mask should be removed inside the room to prevent contamination.
Extract:
Question 2 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A because removing the cap and placing it sterile-side up on a clean surface helps maintain the sterility of the solution. Placing the cap sterile-side up prevents contamination of the inside of the cap. This action ensures that the contents of the bottle remain sterile while allowing easy access to the solution during the procedure.
In contrast, option B is incorrect because placing sterile gauze over spilled solution within the sterile field may introduce non-sterile material into the field. Option C is incorrect as holding the bottle in the center of the sterile field may increase the risk of accidental contamination. Option D is incorrect because holding the irrigation solution bottle with the label facing away from the palm of the hand does not ensure the sterility of the solution.
Question 3 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: "You don't have to go through with the treatment." This response respects the client's right to change their mind even after giving initial consent. It upholds the principle of autonomy and informed decision-making in healthcare.
Choices A and B do not acknowledge the client's right to withdraw consent and could potentially pressure the client.
Choice C, while empathetic, does not address the client's statement directly. Summarily, choices A, B, and C do not prioritize the client's autonomy and respect for their decision-making.
Question 4 of 5
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
Correct Answer: A
Rationale: The correct answer is A: Latex. Latex allergies are crucial to address prior to IV therapy as latex is commonly found in medical equipment like gloves and IV tubing. An allergic reaction to latex can be severe and life-threatening. Seafood, bee stings, and peanuts are not typically related to IV therapy and would not directly impact the administration of the therapy. The focus should be on latex allergy due to its direct relevance to medical equipment used during IV therapy.
Question 5 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D. Reassure the client that this is an expected response to grief.
Rationale: Expressing anger is a common response to receiving a cancer diagnosis. By reassuring the client that anger is a normal part of the grieving process, the nurse validates the client's feelings and provides emotional support. This can help the client feel understood and more at ease. Discussing risk factors (
A) may not address the client's immediate emotional needs. Focusing on future management (
B) may be overwhelming at this stage. Providing written information about loss and grief (
C) may not directly address the client's anger.