ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A home health nurse is providing teaching to an older adult client who is at risk for falls. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will put socks on when I get out of bed." This statement indicates a need for further teaching because wearing socks on slippery floors increases the risk of falls. The rationale behind this is that socks lack traction and can cause the client to slip and fall. The other choices are all appropriate measures to prevent falls in older adults. A: Having vision checked helps with identifying hazards. C: Installing a safety bar near the toilet provides support. D: Putting a night-light in the hallway improves visibility and reduces the risk of tripping.
Question 2 of 5
A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Record the amount of medication wasted on the controlled substance inventory record. This is the appropriate action because it ensures accurate tracking of controlled substances, promoting accountability and preventing diversion. The nurse should document the wasted medication to maintain an accurate inventory record, which is crucial for regulatory compliance and patient safety.
Incorrect options:
A: Asking assistive personnel to witness the wasting of controlled substances may not provide the necessary documentation for accountability.
B: Disposing of the wasted medication into a sharps container does not address the need for proper recording of the wastage.
D: Returning the unused portion of the medication to the pharmacy is not recommended for controlled substances as they need to be properly documented and disposed of following protocol.
Question 3 of 5
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure?
Correct Answer: C
Rationale: The correct answer is C: Say "stop" if a burning sensation is felt inside the nose. This instruction is important because a burning sensation could indicate mucosal irritation or injury during NG tube insertion. Client safety is a priority, so the nurse must ensure the client communicates any discomfort during the procedure to prevent complications. Option A, raising the index finger if gagging occurs, is incorrect as it does not address potential mucosal damage. Option B, bearing down during insertion, can increase the risk of tube misplacement. Option D, inhaling forcefully, is dangerous as it can lead to aspiration. The correct answer, option C, focuses on client comfort and safety during the NG tube insertion process.
Question 4 of 5
A nurse is caring for a client who has a dysrhythmia. Which of the following techniques is appropriate for the nurse to use to assess for a pulse deficit?
Correct Answer: A
Rationale: The correct answer is A: Obtain apical and radial rates simultaneously. This technique is appropriate for assessing a pulse deficit because it allows the nurse to compare the heart rate (apical) with the peripheral pulse rate (radial) at the same time. Discrepancies between the two rates indicate a pulse deficit, which can be indicative of certain dysrhythmias. Palpating pulses in the lower extremities (
B) does not assess for a pulse deficit specifically. Checking blood pressure in left and right arms (
C) is not relevant to assessing a pulse deficit. Comparing pulse strength in upper extremities (
D) does not specifically address the detection of a pulse deficit.
Question 5 of 5
A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Correct Answer: D
Rationale: The correct answer is D: Elevating the finger above heart level. This action is incorrect because it can impede blood flow to the finger, making it difficult to obtain an adequate blood sample.
To obtain a capillary finger stick blood sample, the finger should be held in a dependent position to promote blood flow. Wrapping the finger in a warm cloth (
A) helps dilate blood vessels for easier blood collection. Rubbing the fingertip with an alcohol pad (
B) cleans the area to prevent infection. Puncturing the side of the fingertip (
C) is the correct technique for obtaining a capillary blood sample.