ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: D
Rationale: The correct answer is D: Client advocate. The nurse manager is functioning in the role of a client advocate by ensuring the safety of the client during the straight catheterization procedure. Advocacy involves protecting the client's rights, promoting their well-being, and ensuring they receive safe and appropriate care. The other choices are incorrect because:
A) Case manager focuses on coordinating care and resources for the client,
B) Client educator involves providing information and teaching the client about their care, and
C) Client care provider refers to directly providing hands-on care to the client, which is not the primary role of the nurse manager in this scenario.
Question 2 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Using grab bars in the bathtub promotes safety by preventing slips and falls, especially for individuals with mobility issues.
C: Having a fire escape plan is crucial for preparedness in case of emergencies, ensuring the client's and their family's safety.
D: Checking medication expiration dates is essential to prevent using expired medications, which can lead to ineffective treatment or harm.
Incorrect
Choices:
A: Applying tape over frayed electrical cords is unsafe as it can increase the risk of electrical fires and shocks.
E: No information is provided to assess the correctness of this statement.
F: No information is provided to assess the correctness of this statement.
G: No information is provided to assess the correctness of this statement.
Question 3 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Offer to play music in the client's room. Music therapy has been shown to effectively reduce pain perception and promote relaxation. It can distract the client from the pain and enhance their overall well-being. Massaging the sacrum (choice
A) may worsen the pressure injury and should be avoided. Bright lights (choice
B) may exacerbate the client's discomfort. Loosening bed linens (choice
C) may not directly address the pain issue.
Therefore, providing music therapy is the most appropriate nonpharmacological intervention in this scenario.
Question 4 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps assess for asymmetrical hearing loss. Placing the tuning fork on the forehead allows sound to be conducted through bone, bypassing the outer and middle ear. If the client hears the sound more in one ear than the other, it indicates conductive hearing loss in the ear that hears it less. Whispering words (
B) and delivering high-pitched sounds (
A) are not part of the Weber's test. Holding the tuning fork against the mastoid process (
D) is part of the Rinne test, not the Weber's test.
Question 5 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's concern and shows empathy by reflecting back what the client said. It opens up the opportunity for the client to further express their feelings and concerns, fostering therapeutic communication.
A: This answer does not acknowledge the client's concerns and may come off as dismissive.
B: This answer invalidates the client's feelings and does not address their concerns.
C: This answer focuses solely on physical aspects and does not address the emotional aspect of the client's concern.