ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning?
Correct Answer: A
Rationale:
Correct
Answer: A. During the admission process.
Rationale: Discharge planning should start early to ensure a smooth transition. During admission, the nurse can assess the client's needs, resources, and support system. This allows time to address any potential barriers to discharge and create a comprehensive plan. Starting discharge planning later may lead to delays and inadequate preparation for the client's transition. Initiating discharge planning during the admission process promotes continuity of care and helps prevent readmissions.
Summary of Other
Choices:
B: Waiting until the client's condition is stable may delay discharge planning and increase the risk of complications during the transition.
C: Waiting for the initial team conference may result in missed opportunities to address discharge needs promptly.
D: Involving the client's family is important, but discharge planning should start early to ensure all aspects of the plan are considered and implemented effectively.
Question 2 of 5
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This is the correct physical assessment technique because proper cuff placement is essential for accurate blood pressure measurement. Placing the cuff around 50% of the arm circumference ensures that the blood pressure reading is not falsely elevated or decreased. Incorrect choices: A: Using the FLACC pain rating scale is relevant for pain assessment, but not a physical assessment technique. C: Obtaining an apical heart rate by auscultating at the third intercostal space left of the sternum is incorrect as the fifth intercostal space at the midclavicular line is the correct location. D: Palpating the client's abdomen before auscultating bowel sounds is incorrect as bowel sounds should be auscultated first to prevent stimulating peristalsis.
Question 3 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This is because anti-cholinergic medications can help reduce secretions in the airway, thus improving the client's breathing and reducing the noisy respirations. Turning the client every 2 hours (choice
A) may provide comfort but does not address the immediate issue of airway secretions. Holding oral care (choice
C) is important for overall comfort but does not directly address the client's breathing difficulty. Increasing the room's temperature (choice
D) is unlikely to improve the client's respiratory distress and may even make it worse.
Question 4 of 5
A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?
Correct Answer: D
Rationale: The correct answer is D because a weekly inspection checklist for oxygen equipment ensures that the equipment is functioning properly and reduces the risk of potential hazards. Option A is incorrect because wool blankets can create static electricity, which is a fire hazard. Option B is not directly related to oxygen safety. Option C is incorrect as storing an oxygen tank in an outdoor shed may expose it to extreme temperatures or moisture.
Question 5 of 5
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Use the complete name of the medication magnesium sulfate. This is important because using the complete name of the medication helps prevent medication errors and ensures clarity in communication. It also follows best practices for medication safety.
Choice B is incorrect because while distinguishing the space between the numerical dose and the unit of measure is important for clarity, it is not as critical as using the complete name of the medication.
Choice C is incorrect because when noting the dosage of insulin, it is important to use the unit "units" rather than the letter "U" for accuracy and clarity.
Choice D is incorrect because the correct abbreviation for indicating a subcutaneous injection is "SQ" or "subQ," not "SC."
Overall, using the complete name of the medication is the most crucial aspect in medication documentation to ensure patient safety and prevent errors.