ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. The nurse should anticipate the provider to prescribe these interventions because they are commonly recommended for clients with conditions such as obesity and hypertension. Limiting alcohol intake to 0 oz per day can help improve overall health and prevent worsening of conditions. Keeping daily fat intake to less than 35% is beneficial for managing weight and cardiovascular health. Administering an antihypertensive medication is crucial for controlling blood pressure in hypertensive clients.
Choices C and E are incorrect as prescribing anti-obesity medications is not always the first-line treatment and limiting foods high in potassium may not be necessary unless the client has specific medical conditions.
Question 2 of 5
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior prior to being placed in seclusion. This is important for maintaining accurate and detailed records of the client's behavior leading up to seclusion, which can help in evaluating the appropriateness of the intervention and in providing important information for the client's treatment plan. Assessing the client's behavior once every hour is important but not the most appropriate immediate action. Offering fluids every 2 hours is not directly related to the client's need for seclusion. Discussing with the client his inappropriate behavior prior to seclusion may not be appropriate or safe in the context of needing seclusion to prevent harm.
Question 3 of 5
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, 'If you don't eat, I'll put restraints on your wrists and feed you.' The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: B
Rationale: The correct answer is B: Assault. Assault is the act of threatening harm or making someone feel apprehensive about imminent harm. In this scenario, the AP's statement of using restraints to force-feed the client constitutes a threat of harm, which is considered assault. The nurse should intervene because this behavior is not acceptable in healthcare settings.
A: Battery involves actual physical harm, which has not occurred in this situation.
C: Negligence is the failure to provide proper care, not applicable here.
D: Malpractice involves professional negligence, not relevant in this context.
In summary, the other choices are incorrect because they do not accurately reflect the situation where the AP's statement constitutes a threat of harm, which aligns with the definition of assault.
Question 4 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is important to prevent complications such as puncturing surrounding structures. Coughing can increase pressure in the thoracic cavity, making the procedure more difficult and increasing the risk of injury. Positioning the client on the affected side (
A) is not necessary and may not be comfortable for the client. Keeping the client NPO for 6 hr prior to the procedure (
C) is not typically required for a thoracentesis. Placing the client in the prone position (
D) during the procedure is incorrect as the procedure is usually performed with the client sitting upright or slightly leaning forward.
Question 5 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.
Correct Answer: D,C,B,E,A
Rationale:
To properly perform nasotracheal suctioning, the nurse should first don sterile gloves to maintain aseptic technique (
D).
Then, the nurse should turn on the suction and set the pressure (
C) to the appropriate level. Next, insert the catheter during the client's expiration, not inspiration, to minimize the risk of aspiration (
B). Apply suction while carefully rotating the catheter to remove secretions effectively (E). Finally, rinse the catheter to ensure it is clear of any remaining secretions (
A). This sequence ensures the safety and effectiveness of the suctioning procedure by following proper infection control measures and maintaining patient comfort.