ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client who is preparing for surgery. Which teaching about a Jackson-Pratt drain will the nurse include?
Correct Answer: D
Rationale: It provides a way to remove drainage and blood from the surgical wound: This accurately reflects the primary function of the Jackson-Pratt drain. It allows for continuous drainage of excess fluids and blood from the surgical site, helping to prevent complications such as hematomas or seromas and promoting better healing outcomes.
Question 2 of 5
Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Client's hearing deficit: The client’s hearing loss poses a significant barrier to effective communication. Volume of the client's television: A loud television creates distracting background noise. Numerous visitors in the client's room: Having multiple visitors can create distractions and noise. Increase in pain after ambulation: The reported increase in pain can affect the client’s focus and engagement in communication.
Question 3 of 5
A nurse is teaching a newly licensed nurse about ethical principles. Which of the following is an example of justice?
Correct Answer: D
Rationale: A nurse provides nonpharmacological pain interventions to each client equally: This action represents the principle of justice, which emphasizes fairness and equality in the distribution of resources and treatment among clients.
Question 4 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: A
Rationale: 18: A score of 18 on the Braden Scale indicates that the patient is at low risk for skin breakdown. A score of 18 or above suggests that the implemented interventions have effectively reduced the risk of skin impairment.
Question 5 of 5
A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?
Correct Answer: D
Rationale: Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE.