ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Lock the remaining medication in the controlled substances cabinet. This is the correct action because opioids are controlled substances that require strict security measures to prevent diversion or misuse. By locking the remaining medication in the controlled substances cabinet, the nurse ensures that it is securely stored and accounted for.
Choice A: Asking another nurse to observe the medication wastage is unnecessary in this situation as the remaining medication should be properly secured rather than observed.
Choice B: Notifying the pharmacy when wasting the medication may be required for documentation purposes, but it does not address the immediate need to secure the remaining medication.
Choice D: Disposing of the vial with the remaining medication in a sharps container is incorrect as it does not follow proper protocol for handling controlled substances.
In summary, choice C is the correct action as it aligns with the necessary security measures for handling opioids, while the other choices do not address the specific requirements for controlled substances.
Question 5 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Sodium 130 mEq/L. A sodium level of 130 mEq/L is considered hyponatremia, which can indicate potential fluid imbalance or certain health conditions. The nurse should report this finding to the provider for further evaluation and intervention.
Choices B, C, and D fall within normal reference ranges for creatinine, sodium, and potassium levels, respectively.
Therefore, they do not require immediate reporting.
In summary, the nurse should report a low sodium level (
A) as it can be clinically significant, while the other choices are within normal limits and do not warrant immediate action.