ATI RN
ATI Fundamentals 2023 Retake Questions
Question 1 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: C
Rationale: The correct answer is C: Check the blood product's compatibility with the client's blood type. Prior to administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves checking the client's blood type against the blood product's compatibility.
Choice A is incorrect as a small gauge IV catheter may not be necessary specifically for packed RBCs.
Choice B is incorrect as lactated Ringer's is not typically used to prime tubing for blood products.
Choice D is important but not the priority prior to starting the infusion.
Question 2 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the threat of harmful or offensive contact without consent, creating fear in the victim. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, inducing fear in the client. The other choices are incorrect because: B: Defamation involves making false statements that harm one's reputation, C: Invasion of privacy is the intrusion into someone's private affairs without consent, and D: Battery is the actual harmful or offensive contact without consent.
Question 3 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure who take hydrochlorothiazide are at risk for nocturia (nighttime urination) due to the medication's diuretic effect. Leaving a light on in the bathroom at night can prevent falls and accidents during nighttime bathroom visits.
Choice A: "I will take a hot bath before going to bed." - Incorrect, as hot baths before bed can potentially worsen heart failure symptoms by increasing heart rate and blood pressure.
Choice C: "I will weigh myself once weekly." - Incorrect, as monitoring weight daily is crucial for individuals with heart failure and taking diuretics to manage fluid retention.
Choice D: "I will take my new medication in the evening." - Partially correct, but the priority in this scenario is safety considerations, not medication timing.
Question 4 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals with physical limitations perform activities of daily living, such as feeding oneself. They can provide adaptive equipment and teach techniques to promote independence. Referring the client to an occupational therapist will address the specific needs related to the client's severe rheumatoid arthritis in her hands.
A: Physician assistant focuses on medical diagnosis and treatment, not specifically on activities of daily living.
B: Physical therapist focuses more on mobility and physical rehabilitation, not specifically on activities like feeding.
D: Social worker focuses on psychosocial aspects and support services, not specifically on physical rehabilitation.
Therefore, the best choice for addressing the client's feeding difficulty due to severe rheumatoid arthritis in her hands is to request a referral to an occupational therapist.
Question 5 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider first?
Correct Answer: B
Rationale: The correct answer is B: The client has a separation of their surgical incision. This finding should be reported first because it suggests a potential complication such as wound dehiscence, which can lead to serious consequences like infection or evisceration. Prompt intervention is necessary to prevent further complications.
A: The client's temperature of 38.3°C indicates a low-grade fever, which is concerning but not as urgent as a wound separation.
C: 3+ pitting edema in the lower extremities is indicative of fluid overload, which is important but not as immediately critical as a wound separation.
D: A urine output of 20 mL/hr is below the normal range, indicating possible renal impairment, but it is not as urgent as managing a wound separation.