ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Question 1 of 5
During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is A: Obtain the client's type and cross-match. This is crucial to ensure the client's safety during surgery. By obtaining the type and cross-match promptly, the nurse can address the oversight and prevent any potential harm to the client. Informing the provider (choice
B) can be done after obtaining the necessary information. Documenting the incident (choice
C) and preparing an incident report (choice
D) are important but should follow ensuring the client's immediate needs are met.
Question 2 of 5
The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.
Correct Answer: A,C,E,F
Rationale: The correct findings that require follow-up prior to surgery are dietary intake, pain level, allergies, and informed consent.
1. Dietary intake is crucial to prevent complications during surgery.
2. Monitoring pain level ensures the client's comfort and may affect postoperative pain management.
3. Allergies must be addressed to avoid adverse reactions to medications or anesthesia.
4. Informed consent is essential for legal and ethical reasons.
Blood pressure and oxygen saturation may also be important but are typically monitored during pre-operative assessments and not specifically mentioned as requiring follow-up.
Question 3 of 5
A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Attempt less restrictive alternatives. Before using wrist restraints, the nurse must exhaust all other options to ensure the client's safety and autonomy. This includes trying alternatives such as diversion activities, increasing supervision, or providing a calming environment. This step is crucial in promoting the client's well-being and preventing unnecessary restriction of movement. Obtaining a prescription for restraints (
A) is important but should come after exploring less restrictive measures. Documenting indications (
B) and explaining the procedure (
C) are necessary steps, but attempting less restrictive alternatives should be prioritized.
Question 4 of 5
A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?
Correct Answer: D
Rationale: The correct answer is D: Urticaria. Urticaria, also known as hives, is a common manifestation of a mild allergic reaction to antibiotics. It presents as raised, red, itchy welts on the skin. This response occurs due to the release of histamine in response to the allergen. Sore throat (choice
A) is more likely indicative of a viral infection or irritation. Urinary frequency (choice
B) is not typically associated with an allergic reaction. Tinnitus (choice
C) is a symptom related to the ears and is not commonly seen in mild allergic reactions to antibiotics.
Question 5 of 5
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D.
A) The client signed in the nurse's presence ensures the nurse witnessed the client's consent.
B) The client has legal authority to do so confirms the client's capacity to sign.
D) The client was not coerced ensures the consent is voluntary.
Choice C is incorrect because mental health conditions do not necessarily invalidate consent.
Choice E is incorrect as language proficiency does not affect the validity of consent.