ATI RN
ATI RN Custom Exams Set 3 Questions
Question 1 of 5
Which nursing action(s) can result in disciplinary action by state boards of nursing?
Correct Answer: D
Rationale: The correct answer is D. Disclosing client health information to unauthorized individuals like a client's neighbor (A) and improper delegation of tasks to unlicensed personnel (B) are serious violations of patient confidentiality and safety standards, which can lead to disciplinary action by state boards of nursing. Choice C, releasing client health information to the client's durable power of attorney, is not a violation as it involves sharing information with an authorized individual. Therefore, choices A and B are incorrect, making D the correct answer.
Question 2 of 5
A family came to the emergency department with complaints of food poisoning. Which client should the nurse see first?
Correct Answer: B
Rationale: In cases of food poisoning, a 2-year-old with reduced urine output is a critical finding indicating dehydration, requiring immediate attention to prevent complications. The reduced urine output is a sign of decreased fluid intake or increased fluid loss, putting the child at high risk for dehydration. This client should be seen first to assess hydration status, initiate necessary interventions, and prevent further complications. While the other symptoms presented by the other clients are concerning, the 2-year-old's decreased urine output poses the most immediate threat to their well-being.
Question 3 of 5
During a respiratory assessment, the nurse is determining respirations per minute. Which factor(s) generally affect the character of respirations? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D. Anxiety and exercise can significantly alter the character of respirations, increasing the rate and depth. Smoking primarily affects the health of the respiratory system in the long term but may not immediately impact the character of respirations. Therefore, choice C is incorrect. Choices A and B are correct as anxiety and exercise can lead to changes in the rate and depth of respirations.
Question 4 of 5
The nurse is caring for the client one day postoperative sigmoid colostomy operation. Which independent nursing intervention should the nurse implement?
Correct Answer: D
Rationale: Assisting the client to sit in a chair is an essential nursing intervention postoperatively as it helps promote circulation, prevent complications like blood clots, and aids in the recovery process. Changing the infusion rate of intravenous fluid (Choice A) requires a physician's order and is not an independent nursing intervention. Encouraging the client to discuss feelings (Choice B) is important for emotional support but not as crucial as physical care immediately postoperatively. Administering opioid narcotic medications (Choice C) for pain management should be based on a prescribed schedule and assessment rather than being an independent nursing action.
Question 5 of 5
The client has failed to conceive after many attempts over a three-year time period and asks the nurse, "I have tried everything. What should I do now?" Which statement is the nurse's best response?
Correct Answer: A
Rationale: The nurse's best response should focus on providing empathetic support and guiding the client to explore further options, such as fertility specialists or treatments. Assessing intravenous fluids for rate and volume is not relevant to the client's concern about infertility. Changing surgical dressing, monitoring medication levels, and tracking meal intake are all unrelated to the client's fertility issues.
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