ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 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: Controlled substances typically require a licensed nurse or provider to witness the wasting not assistive personnel. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.
Question 2 of 5
A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance the development of suitable programs?
Correct Answer: A
Rationale: Surveying the target population is the best approach to identify the specific interests and health concerns of the older adults ensuring that the programs are relevant and tailored to their needs. Determining the availability of health care providers is a logistical consideration but may not necessarily address the specific interests or needs of the older adults. Basing the programs on their developmental stage is important but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.
Question 3 of 5
A nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus a 6 oz cup of tea 4 oz of apple juice 8 oz of water 3 oz of flavored gelatin and 6 oz of broth. What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1690
Rationale:
To calculate the 8-hr fluid intake convert all measurements to milliliters (mL). 1 oz = 30 mL so 6 oz of tea = 180 mL 4 oz of apple juice = 120 mL 8 oz of water = 240 mL 3 oz of flavored gelatin = 90 mL and 6 oz of broth = 180 mL. Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL. Round the answer to the nearest whole number: 1690 mL. The nurse should document 1690 mL as the client's 8-hr fluid intake.
Question 4 of 5
A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Sterile gloves are not necessary for a tap water enema; clean non-sterile gloves are sufficient. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema. Lowering not raising the enema bag will allow for a slower flow and may reduce cramping.
Question 5 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client's belief that his needs will be met through education reflects intrinsic motivation which is likely to enhance the client's commitment to learning and self-care. Seeking family approval may be a motivator but it is an external factor and intrinsic motivation is generally more effective for sustained behavior change. While the nurse explaining the need for education is important the client's personal belief and understanding of the value of education are key for motivation. The nurse's empathy is essential for building rapport but the client's belief in the benefits of education is more directly related to motivation.