ATI RN
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ATI RN Fundamentals Exam 6 Questions
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Question
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1 of 5
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?
Correct Answer: B
Rationale: The frequency of previous vital sign measurements may be important but is not the most critical information to communicate during a transfer. The effectiveness of the last dose of pain medication is crucial information for the receiving facility to manage the client's pain appropriately. The number of family members who have visited is important for emotional support but may not be the priority for the receiving facility. The time of the client's last bath is relevant but may not be as critical as information related to pain management during the hand-off report.
Question 2 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 3 of 5
A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider the nurse still feels that it is unsafe. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: If the nurse still has concerns after seeking clarification the appropriate action is to contact another provider for a second opinion to ensure the safety and well-being of the client. Withholding the treatment without further consultation may not be the best course of action. Seeking additional input is important. Carrying out the prescription despite concerns about its safety may pose risks to the client. Notifying the ethics committee should be considered if there are ongoing ethical concerns or if the issue cannot be resolved through collaboration with other providers.
Question 4 of 5
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are usually suitable and the choice depends on factors such as accessibility and patient preference. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts with consideration for vein integrity and accessibility.
Question 5 of 5
To plan culturally competent care a nurse should consider that:
Correct Answer: D
Rationale: While some clients may be receptive to a scientific perspective cultural beliefs and practices can significantly influence health-related decisions and behaviors. Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group. Disease and illness can indeed be influenced by cultural factors including beliefs about health and healing practices. The meaning of behavior can vary widely across cultures and understanding the cultural context is crucial for providing culturally competent care.