ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?
Correct Answer: C
Rationale: Parents are the most reliable source for a toddler’s medical history, current symptoms, and behavioral changes, as they are primary caregivers with daily involvement. Grandparents may provide supplementary data, but parents have the most current insights. The admitting provider offers clinical assessments but lacks personal history depth. Medical records may be outdated or lack recent context.
Question 2 of 5
A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.
Question 3 of 5
A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include?
Correct Answer: B,D,E
Rationale: Exercise improves sleep by regulating circadian rhythms, decreases stress via cortisol reduction, and boosts mood through endorphin release. It increases energy and stimulates, not inhibits, endorphins.
Question 4 of 5
A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Haloperidol increases photosensitivity, risking sunburn, which the client correctly identifies. Tinnitus, incontinence, and metallic taste are not common side effects.
Question 5 of 5
Which of the following is essential when restraints are applied to a client?
Correct Answer: B
Rationale: Assessing circulation and neurological integrity every 2 hours prevents restraint-related injuries. Square knots are hard to release, side rails risk entrapment, and 12-hour checks are too infrequent.