ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse in a clinic is teaching a client who has diabetes mellitus about self-administration of insulin using a prefilled, multidose pen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Use pen needles that have a safe-needle protection device attached. This is important because it helps prevent accidental needle sticks and ensures safe disposal. Using needles with safety features reduces the risk of injury to both the client and healthcare provider. Option A is incorrect as pinching the skin can affect proper insulin absorption. Option C is incorrect as recapping needles increases the risk of needle-stick injuries. Option D is incorrect as removing the needle before disposing of it can lead to accidental needle sticks.
Question 2 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: I will perform ankle and knee exercises every hour. This statement indicates an understanding of the teaching because regular ankle and knee exercises help prevent muscle atrophy and improve circulation, reducing the adverse effects of immobility.
Choice A is incorrect as removing antiembolic stockings increases the risk of blood clots.
Choice C is incorrect as holding breath while rising can lead to orthostatic hypotension.
Choice D is incorrect as changing positions every 2 hours is recommended to prevent pressure ulcers.
Question 3 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client’s BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Recheck the client's BP in her other arm for comparison. This is the best course of action to ensure accuracy of the BP reading. By rechecking the BP in the other arm, the nurse can determine if the initial reading was accurate or if there are any significant differences between the arms. This can help identify any potential issues such as arterial blockages or other underlying conditions affecting the BP.
Choice A is incorrect because the width of the BP cuff should be 40% of the upper arm circumference, not 50%.
Choice B is not necessary unless the client is showing signs of distress or discomfort, as it is important to keep the client in the same position for consistent readings.
Choice D is unnecessary unless there are specific reasons to suspect inaccurate readings or if the client's condition changes significantly.
In summary, rechecking the BP in the other arm is the most appropriate action to verify the accuracy of the initial reading and ensure the client's safety.
Question 4 of 5
A nurse is reviewing complementary therapies approved by the provider with a client who has hypertension. Which of the following supplements should the nurse discuss with the client?
Correct Answer: A
Rationale: The correct answer is A: Garlic. Garlic has been shown to potentially help lower blood pressure in individuals with hypertension due to its active compound allicin. Allicin has been suggested to relax blood vessels, leading to improved blood flow and reduced blood pressure. Peppermint oil (
B) is not typically used for hypertension. Licorice root (
C) can raise blood pressure and should be avoided. Chamomile (
D) is not known for its effect on blood pressure.
Question 5 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action helps ensure that the NG tube is clear and free from any residual formula or medication, preventing potential clogs or interactions. By flushing the tube, the nurse can confirm proper tube placement and avoid any complications.
Choice A is incorrect because combining medications with the formula can lead to drug interactions and compromise the efficacy of the medications.
Choice B is incorrect as diluting medications with warm water may alter their stability and effectiveness.
Choice D is incorrect as mixing medications together in a single syringe can also result in drug interactions and inaccurate dosing.