ATI RN
ATI RN Fundamentals 2019 Questions
Question 1 of 5
A nurse is mixing a short-acting insulin and an intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which following actions should the nurse take first?
Order the Items
Source Container
Correct Answer: A,C,D,B
Rationale:
To mix short-acting and intermediate-acting insulin in the same syringe, the nurse should first inject air into the intermediate-acting insulin vial (
A) to prevent vacuum formation. Next, inject air into the short-acting insulin vial (
C) to maintain pressure balance.
Then, draw the short-acting insulin into the syringe (
D) before drawing the intermediate-acting insulin (
B) to avoid contamination. This order ensures proper mixing and accurate dosing of the insulins, minimizing the risk of errors. Injecting air first prevents negative pressure, which can make it difficult to withdraw the correct amount of insulin.
Therefore, the correct order is A, C, D, B.
Question 2 of 5
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Notify the provider. The nurse should notify the provider because the client does not fully understand the surgical procedure, which raises concerns about informed consent. By informing the provider, the nurse ensures that the client receives proper education and clarification about the procedure from the healthcare team. This action promotes patient autonomy and ensures that the client makes an informed decision regarding their care.
Choice B (Provide brochures about the procedure) may not address the client's immediate need for clarification and may not be sufficient to ensure informed consent.
Choice C (Describe the surgery to the client) may exceed the nurse's scope of practice and may not provide accurate information.
Choice D (Complete an incident report) is not necessary in this situation as there is no error or adverse event that has occurred.
Question 3 of 5
A nurse is caring for a client who refuses to follow the provider's prescription for strict bed rest. The nurse overhears an assistive personnel (AP) tell the client,If you do not remain in bed, I will place you in restraints. The nurse should identify that the AP is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional threat or apprehension of harmful or offensive contact. In this scenario, the AP's statement of placing the client in restraints if they do not comply constitutes a threat of physical harm, which is considered assault. This is different from battery (choice
D), which involves actual physical contact. False imprisonment (choice
B) involves unlawfully confining or restraining someone, which is not the case here. Defamation of character (choice
C) involves making false statements that harm a person's reputation, which is also not applicable in this situation.
Question 4 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. A is correct because maintaining a negative-airflow room helps prevent the spread of airborne infections. B is correct because wearing a mask outside the room reduces the risk of exposure to pathogens. D is correct because visitors need to wear protective gowns to prevent bringing in germs.
Choice C is incorrect because a semi-private room may increase the risk of infection exposure.
Question 5 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: C
Rationale: The correct assessment to perform first is C: Peripheral pulses. This is crucial to ensure adequate circulation and prevent complications such as ischemia and nerve damage. Monitoring peripheral pulses helps assess the effectiveness of the restraints and detect any circulation problems promptly. Comfort level (
A) can be assessed after ensuring adequate circulation. Skin integrity (
B) is important but can wait as compromised circulation poses a more immediate threat. Elimination needs (
D) are important but not as urgent as assessing circulation.