ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse administers the wrong medication to a patient. After assessing the patient the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
Correct Answer: D
Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.
Question 2 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
Question 3 of 5
The patient with glaucoma is usually started on the lowest dose of medication. Which of the following is the preferred initial ophthalmic medication?
Correct Answer: B
Rationale: Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid but they are usually used when other treatments have not been successful. Prostaglandin analogs such as latanoprost and travoprost are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye. Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow but they are usually used when other treatments have not been successful. Beta-blockers like timolol are sometimes used as initial treatment for glaucoma but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.
Question 4 of 5
A nurse is getting ready to conduct a cranial nerve examination on a patient. What steps should the nurse take to examine cranial nerve XI (Spinal Accessory)?
Correct Answer: C
Rationale: Checking the patient's visual acuity using a Snellen chart is used to assess cranial nerve II (Optic) not cranial nerve XI (Spinal Accessory). Whispering in one of the patient's ears while blocking the other is a method used to assess cranial nerve VIII (Vestibulocochlear) not cranial nerve XI. Observing the patient's ability to turn their head from side to side is a correct method to assess cranial nerve XI. This nerve innervates the sternocleidomastoid and trapezius muscles which are responsible for turning the head and shrugging the shoulders respectively. Asking the patient to identify specific smells is used to assess cranial nerve I (Olfactory) not cranial nerve XI.
Question 5 of 5
The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump what is the rate that the nurse should enter?
Correct Answer: A
Rationale:
Step 1 is to calculate the rate of fluid replacement. The formula for this is: Rate (mL/hr) =
Total volume (mL) ÷ Time (hr) So for this question: Rate (mL/hr) = 1000 mL ÷ 10 hr = 100 mL/hr.