ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
Correct Answer: B
Rationale: Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order but it lacks clarity. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Question 2 of 5
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are usually suitable and the choice depends on factors such as accessibility and patient preference. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts with consideration for vein integrity and accessibility.
Question 3 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin which facilitates the entry of tryptophan into the brain promoting the production of serotonin and melatonin. Taking a 30-minute daily nap especially close to bedtime may interfere with nighttime sleep. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine which can interfere with sleep.
Question 4 of 5
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
Correct Answer: B
Rationale: Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order but it lacks clarity. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Question 5 of 5
A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?
Correct Answer: B
Rationale: Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.