ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
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: A, B, C, E
Rationale: The correct choices are A, B, C, and E.
A) Wearing an N95 mask is essential for respiratory protection.
B) Placing a container for soiled linens in the room prevents contamination.
C) Isolating the client in a negative airflow room helps prevent the spread of airborne pathogens. E) Wearing a sterile water-resistant gown within 3 feet of the client reduces the risk of contact transmission.
D) Removing the mask after exiting the room increases the chance of self-contamination. Thus, D is incorrect. Option F and G are not provided in the question.
Question 2 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: C
Rationale: The correct answer is C because providing the client with written information about the phases of loss and grief acknowledges and validates the client's feelings of anger, helping him understand that it is a normal part of coping with a cancer diagnosis. This action supports the client emotionally and educates him on the grieving process, enabling him to navigate his emotions more effectively.
Choice A is incorrect because discussing risk factors may not address the client's immediate emotional needs.
Choice B is incorrect as focusing on future management may disregard the client's current emotional state.
Choice D is incorrect as simply reassuring the client may not address the underlying emotions causing the anger.
Question 3 of 5
A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the following images should the nurse identify as indicating the correct technique for eliciting the client's patellar reflex?
Correct Answer: A
Rationale: The correct answer is A. The nurse should identify this image as indicating the correct technique for eliciting the client's patellar reflex because the client is sitting with legs dangling over the edge of the table, which allows the quadriceps muscle to be in a slightly stretched position. The examiner is tapping below the patella with a reflex hammer, directly stimulating the patellar tendon to elicit the reflex. This position and technique are essential for a proper response, as it activates the muscle spindle fibers to trigger the reflex arc involving the sensory and motor neurons.
Choices B, C, and D are incorrect because they do not follow the correct technique for eliciting the patellar reflex. In choice B, tapping above the patella would not directly stimulate the patellar tendon. In choice C, having the client's legs crossed would not allow for proper muscle tension required for the reflex. In choice D, having the client standing with knees slightly bent may not provide the necessary muscle tension or positioning for an accurate
Question 4 of 5
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The nurse should address the client's concerns about retirement by discussing how the change in job status will affect them. This response shows empathy and understanding of the client's feelings. It allows the nurse to explore the client's thoughts and feelings, providing an opportunity to address any fears or uncertainties the client may have about retirement. By engaging in a discussion about the potential impact of retirement, the nurse can help the client make an informed decision.
Summary of Incorrect
Choices:
A: This response assumes that the client's desire to retire is solely based on spending time with family, which may not be the case.
B: Suggesting a part-time job or volunteer work does not address the client's concerns about retirement and may not align with their wishes.
D: This response is dismissive of the client's feelings and does not address the underlying reasons for their hesitation towards retirement.
Overall, choice C is the most appropriate as it demonstrates active listening and allows for a meaningful conversation
Question 5 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct as documenting the provider's instructions in the medical record ensures clear communication and accountability. This helps track the client's condition and the actions taken.
Choices B, C, and D are incorrect as they do not address the immediate need to follow the surgeon's instructions. The priority is to ensure the client's vital signs are monitored as directed.