ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is caring for a patient who has dementia
Question 1 of 5
What intervention should the nurse take to minimize the risk of injury to the patient?
Correct Answer: A
Rationale: Using a bed exit alarm system is a common intervention to minimize the risk of injury in patients with dementia. These systems alert staff when a patient attempts to leave the bed.
Extract:
Question 2 of 5
A nurse is educating a client who is under protective isolation precautions. Which statement from the client indicates they have understood the teaching?
Correct Answer: D
Rationale: Wearing a face mask when leaving the hospital room is a common requirement in protective isolation precautions to prevent the spread of infections.
Extract:
A client in the emergency department reports abdominal pain and has not had a bowel movement for the past 7 days.
Question 3 of 5
Based on the client's clinical findings, which action should the nurse take?
Correct Answer: C
Rationale: Administering a cleansing enema is the correct action. The client has not had a bowel movement for the past 7 days and reports abdominal pain.
Extract:
Nurses’ Notes
• The client reports a sudden onset of chest tightness and difficulty breathing starting approximately 30 minutes ago.
• The client is anxious and visibly distressed, clutching her chest intermittently.
• She has a history of hypertension and diabetes, which are being managed with medication.
• On examination, the client is sitting upright and appears to be in moderate respiratory distress.
• The client mentions feeling lightheaded and reports a slight headache.
• She is sweating profusely and her skin is pale.
• The client denies any recent physical exertion or known exposure to irritants.
Vital Signs
• Temperature: 37.2°C (99.0°F)
• Heart Rate: 104 beats per minute
• Respiratory Rate: 22 breaths per minute
• Blood Pressure: 158/92 mmHg
Physical Examination Results
• The client’s lungs exhibit bilateral wheezing and crackles upon auscultation.
• There is no visible swelling or edema in the extremities.
• The client has a dry cough that is intermittent.
• No cyanosis is noted around the lips or extremities.
• The client’s skin is cool and clammy.
• The client appears slightly disoriented when asked questions.
• There is no sign of trauma or injury.
Question 4 of 5
A 45-year-old female client is admitted to the emergency department with complaints of sudden shortness of breath and chest tightness. She has a history of hypertension and diabetes.Exhibits:A nurse is assessing the client at 0700 hrs. Which of the following actions should the nurse take first? A Initiate a cardiac enzyme panel
Correct Answer: D
Rationale: The client's symptoms of sudden shortness of breath, chest tightness, and anxiety, along with her history of hypertension and diabetes, are concerning for a possible cardiac event. An electrocardiogram (ECG) can provide immediate information about the heart's electrical activity and help identify if the client is experiencing a heart attack or other cardiac event. This should be the first action taken to quickly identify the cause of the client's symptoms and initiate appropriate treatment.
Extract:
Question 5 of 5
A nurse is caring for a client who is expressing anger about their diagnosis of colorectal cancer. Which action should the nurse take?
Correct Answer: D
Rationale: Reassuring the client that anger is an expected response to grief can validate the client's feelings and help them feel understood. It's important to acknowledge and validate the client's emotions during this difficult time.