ATI RN
ATI Fundamental Exams Questions
Question 1 of 5
The nurse is caring for the client with cardiac and renal disease. The client now has a serum potassium level of 6.0 mEq/L. Which medications, if prescribed, should the nurse administer? Select all that apply.
Correct Answer: A,B,D
Rationale:
Correct
Answer: A, B, D
Rationale:
A: Calcium gluconate helps protect the heart from the effects of high potassium levels by stabilizing the myocardium.
B: Dextrose 50% with insulin promotes cellular uptake of potassium, lowering serum levels.
D: Regular insulin drives potassium into cells, reducing serum levels.
Summary:
C: Colace is a stool softener and does not address high potassium.
E: Potassium chloride would further increase potassium levels and is contraindicated.
Incorrect choices lack direct actions to lower serum potassium levels compared to the correct choices.
Question 2 of 5
A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply)
Correct Answer: B,E
Rationale: The correct answer is B (Ibuprofen) and E (Acetaminophen). Ibuprofen and Acetaminophen are both nonopioid analgesics commonly used for pain relief without the risk of opioid addiction. Codeine (
A), Fentanyl (
C), and Oxycodone (
D) are opioids, which can lead to addiction. Ibuprofen works by reducing inflammation, while Acetaminophen blocks pain signals in the brain. In summary, Ibuprofen and Acetaminophen are nonopioid analgesics, making them suitable options for clients with opioid addiction to manage pain effectively without the risk of addiction.
Question 3 of 5
A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Determine the length of the NG tube to be inserted prior to the procedure.
Rationale: Before inserting an NG tube, the nurse must measure the distance from the client's nostril to the earlobe to the xiphoid process to determine the appropriate length of the tube to be inserted. This measurement helps ensure that the tube reaches the stomach without coiling in the esophagus or being too short to reach the stomach. Proper insertion depth minimizes the risk of complications such as aspiration or discomfort for the client.
Summary:
A: Asking the client to cough while inserting the NG tube is unnecessary and does not contribute to the safe insertion of the tube.
B: Sterile gloves are not required for NG tube insertion unless the client is immunocompromised or during specific circumstances.
C: Placing the client into a left lateral position is not a standard step for NG tube insertion and is not necessary in this scenario.
E, F, G: No information is provided for
Question 4 of 5
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client?
Correct Answer: D
Rationale: The correct answer is D: Protective precautions. After an allogeneic hematopoietic stem-cell transplant, the client's immune system is severely compromised, making them highly susceptible to infections. Protective precautions, such as wearing gloves, gowns, masks, and ensuring proper hand hygiene, are crucial in preventing the transmission of infections. Contact precautions (choice
A) are used for clients with infections spread by direct or indirect contact. Airborne (choice
B) and droplet (choice
C) precautions are used for specific diseases transmitted through the air or droplets, not typically associated with stem-cell transplants.
Question 5 of 5
A nurse manager is observing an AP applying wrist restraints for a client. Which of the following actions should the nurse identify as an indication that the AP understands the procedure?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Padding against bony prominences prevents skin breakdown. This indicates proper positioning to maintain client safety and skin integrity. Inserting one finger (
Choice
A) is not enough space for circulation. Tying straps in a double knot (
Choice
C) can lead to difficulty removing the restraints quickly if needed. Tying restraints to side rails (
Choice
D) is unsafe and can cause injury or entrapment.