ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Using grab bars when getting in and out of the bathtub enhances safety.
B: Having a fire escape plan is crucial for emergency preparedness.
C: Checking medication expiration dates ensures medication efficacy.
These choices promote home safety. Incorrect choices D and E can be dangerous. Setting the hot water heater to 140 degrees Fahrenheit can cause scalding burns. Applying tape to electrical cords is a fire hazard.
Question 2 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label?
Correct Answer: B,C,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are when removing the medication from the drawer, directly before administering the medication, and when preparing the medication dosage. Comparing the medication administration record with the label when removing the medication ensures that the correct medication is being taken out. Checking again directly before administration ensures the right medication is given to the right patient. Lastly, verifying the medication dosage during preparation ensures accurate dosing. The other options are incorrect because comparing at the end of the shift may lead to errors going unnoticed, reconciling counts of controlled substances is unrelated to checking medication accuracy, and comparing when reconciling counts may not catch errors in administration.
Question 3 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This is an expected finding in an eye assessment as normal eyelashes typically curve slightly outward. Eyelids blinking involuntarily (
B) is a normal physiological response, but the rate mentioned is too high. Pupils (
C) are normally 3 to 4 mm in diameter, not 8 to 9 mm. Corneas with an opaque appearance (
D) suggest a potential issue like corneal edema.
Question 4 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don't swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional threat of harmful or offensive contact with an individual that causes reasonable apprehension of imminent contact. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, leading to the client's reasonable fear of imminent bodily harm. Defamation (
B) involves false statements that harm a person's reputation, Battery (
C) is the intentional harmful or offensive contact without consent, and Invasion of privacy (
D) involves intruding on an individual's private affairs. In this case, Assault best fits the situation described.
Question 5 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings clearly during nighttime, reducing the risk of tripping or falling. Placing a night light in the client's room promotes safety and enhances visibility, especially during sleep or when getting up at night. Elevating full-length side rails (Option
A) may restrict the client's mobility and independence, increasing the risk of falls. Placing the bedside table away from the bed (Option
B) does not directly address fall prevention. Keeping the room temperature at 18°C (Option
D) is not directly related to fall prevention.