ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is providing discharge instructions to a patient who will be using a walker.
Question 1 of 5
Which of the following statements by the patient indicates that the teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because hiring someone to trim the tree shows the patient understands the importance of avoiding potential hazards like falling branches. This indicates effective teaching on safety measures. A is incorrect as using an extension cord can lead to tripping hazards. C is incorrect as placing an alarm clock on a dresser doesn't demonstrate understanding of the teaching content. D is incorrect as replacing a throw rug doesn't address safety concerns.
Extract:
A postoperative client refuses to use an incentive spirometer following major abdominal surgery.
Question 2 of 5
What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority action because understanding the client's refusal will help address any underlying issues hindering compliance with treatment, ensuring optimal care. Documenting the refusal (
B) is important but not as immediate as understanding the root cause. Administering pain medication (
C) may be necessary but addressing the refusal first is crucial. The other choices are not relevant to the immediate priority of addressing the client's refusal.
Extract:
Question 3 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: The correct answer is A because providing oxygen through a tube in the nose is a non-invasive and supportive measure to help the patient breathe easier. It aligns with the patient's wishes to decline resuscitation and focuses on comfort care.
Choice B is incorrect because a living will allows patients to change their wishes at any time.
Choice C is incorrect as inserting a breathing tube may not align with the patient's wishes for comfort-focused care.
Choice D is incorrect as consulting the appointed person should only be done if the patient is unable to make decisions themselves.
Question 4 of 5
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the abdomen. Heparin is typically administered subcutaneously into the abdomen due to the abundance of subcutaneous tissue in this area, allowing for better absorption of the medication. This site also reduces the risk of hitting underlying muscles or blood vessels. Inserting the needle at a 15-degree angle (choice
A) is not necessary as a 90-degree angle is preferred for subcutaneous injections. Aspirating for blood return (choice
B) is not recommended for subcutaneous injections as it may cause tissue damage. Massaging the site after the injection (choice
D) is contraindicated as it can lead to bruising or hematoma formation.
Question 5 of 5
The client is experiencing symptoms of itching and anxiety, and presents with a flushed face and hives. Complete the following sentence: 'The client's condition is indicative of _.'.
Correct Answer: A
Rationale: The correct answer is A: An allergic reaction. The symptoms described - itching, anxiety, flushed face, and hives - are classic signs of an allergic reaction. Itching and hives suggest a skin reaction, while anxiety can be a psychological response to the physical symptoms. Flushed face may indicate a systemic response. The presence of these symptoms together points towards an immune response triggered by an allergen.
Choices B, C, and D are incorrect as they do not align with the symptoms presented.
Choice B mentions side effects of a procedure, which would not typically cause these specific symptoms.
Choice C, anxiety disorder, does not explain the physical symptoms like itching and hives.
Choice D, hypersensitivity to IV gauge material, could be a potential cause, but the broader symptoms described are more indicative of an allergic reaction.