ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

A. Room numberB. Telephone numberC. Patient's nameD. Diagnosis

Correct Answer: C

Rationale: The patient’s name (
C) is the standard identifier to ensure the right client, per safety protocols. Room number (
A), phone (
B), and diagnosis (
D) aren’t reliable identifiers.

Question 2 of 5

A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

A. Notify the facility's risk management team.B. Assess the client for a change in condition.C. Place an incident report in the client's electronic medical record.D. Administer an antidote before notifying the provider.

Correct Answer: B

Rationale: Assessing for changes (
B) is the priority to manage potential allergic reactions, per ABCs. Notifying (
A), reporting (
C), and antidote (
D) follow assessment.

Question 3 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

A. Obtain a prescription for restraints from the provider.B. Document the indications for using wrist restraints.C. Explain the procedure to the client and their family.D. Attempt less restrictive alternatives.

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

Question 4 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Use povidone-iodine to clean around the stoma.'B. Cut the opening of the pouch 1/8 of an inch larger than the stoma.'C. Empty the ostomy pouch when it becomes one-third full of contents.'D. Place a piece of gauze over the stoma while changing the pouch.'E. Expect the stoma to turn a purple-blue color as it heals.'

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

Question 5 of 5

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A. When documenting the medication administrationB. Before selecting the medication containerC. While removing medication from the containerD. When providing client education about the medicationE. At the client's bedside before administering the medication

Correct Answer: B,C,E

Rationale: Comparing the MAR with the container before selecting (
B), while removing (
C), and at bedside (E) ensures accuracy (right drug, dose, patient). Documentation (
A) follows, and education (
D) doesn’t require this step.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN