ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Question 1 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: B
Rationale: The correct answer is B: Schedule the client as the first surgical procedure of the day. This is appropriate because scheduling the client as the first surgery reduces the risk of exposure to latex, as there will be less latex residue in the operating room. This minimizes the chances of an allergic reaction for the client.
A: Cleansing the stoppers with povidone-iodine does not directly address the latex allergy and does not prevent exposure to latex.
C: Removing the stopcocks from IV tubing may reduce latex exposure, but scheduling the client as the first procedure is more effective.
D: Ensuring that gloves in the surgical suite are powdered can actually increase the risk of allergic reactions as the powder can contain latex particles.
Therefore, choosing option B is the most appropriate and effective action to include in the client's plan of care.
Question 2 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: The correct answer is B: Determine whether the client can afford the insulin administration supplies. This should be the nurse's first priority because it directly impacts the client's ability to adhere to the prescribed treatment plan. If the client cannot afford the supplies, they may not be able to properly manage their diabetes, leading to serious complications. Ensuring affordability promotes client safety and adherence.
A: Making a copy of the medication reconciliation form can be done later and is not as urgent as addressing the client's financial concerns.
C: Providing the client with a contact number for a diabetes education specialist is important but addressing affordability should come first.
D: Obtaining printed information about insulin self-administration is important but not as critical as ensuring the client can afford the supplies.
Question 3 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should limit the time that I spend sitting in a chair." This statement shows an understanding of the teaching because prolonged sitting increases the risk of thrombus formation. By limiting sitting time, the client can promote circulation and reduce the risk of blood clots.
Other choices are incorrect:
A: Keeping legs crossed can impede blood flow, increasing the risk of thrombus formation.
B: Massaging legs when they hurt may not prevent thrombus formation and could potentially dislodge a clot.
D: Performing leg exercises once every 4 hours may not be frequent enough to prevent blood clots.
Question 4 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Cleanse the skin around the stoma with normal saline. This is important to prevent infection and skin breakdown. Cleaning the skin helps maintain hygiene and prevents the build-up of secretions. Using normal saline is gentle and non-irritating to the skin.
A: Using a cotton tip applicator to clean inside the inner cannula can cause injury or dislodgment of the tracheostomy tube.
C: Soaking the outer cannula in warm, soapy tap water is not necessary for routine tracheostomy care and may introduce contaminants.
D: Securing the tracheostomy ties to allow one finger to fit snugly underneath is incorrect as it does not address the immediate need for skin cleansing.
Question 5 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.