ATI RN
ATI Leadership Practice B Questions
Question 1 of 5
Which statement by the patient indicates a need for additional instruction in administering insulin?
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
Question 2 of 5
The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications. A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms. B: The patient has a history of emphysema. Relevant but not urgent in this scenario. C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure. In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.
Question 3 of 5
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
Correct Answer: A
Rationale: Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (C) may be too slow to raise the glucose level. Notifying the healthcare provider (D) is not needed at this point as the patient is responding to the initial intervention.
Question 4 of 5
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice C) should only be done if the fire cannot be quickly and safely confined.
Question 5 of 5
When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system. A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed. C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition. D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.