ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is administering multiple types of ophthalmic drugs to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 5 min between the administration of each medication. This is important to prevent dilution of the medication and ensure proper absorption in the eye. Waiting between administrations allows each medication to have its full effect before the next one is introduced. Holding the dropper 3 cm away from the eye (
A) is incorrect as it may cause inaccurate dosing. Asking the client to close their eyes tightly after instillation (
B) can prevent proper absorption. Massaging the client's eyelids (
C) can lead to contamination or injury. Waiting 5 min between medications is the best practice to ensure each drug is absorbed effectively.
Question 2 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins, leading to phlebitis and tissue damage.
Therefore, a central venous line is more appropriate for PN administration to prevent vein damage and complications. Changing the PN bag every 48 hours (
A) is not directly related to the administration of PN through a central line. Obtaining a random blood glucose daily (
B) is important but not specific to the administration of PN through a central line. Administering the PN and fat emulsion separately (
D) is not recommended as they are often combined in one solution for administration.
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 restraints, which of the following actions must the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C - Attempt less restrictive alternatives.
Rationale: Before resorting to restraints, the nurse must try less restrictive measures to ensure the client's safety. This includes using soft restraints, diversion techniques, or involving family members. This approach aligns with the principles of patient autonomy and least restrictive interventions. It also helps prevent potential harm or discomfort that may be caused by the use of restraints.
Summary of other choices:
A: Obtaining a prescription is important, but exploring alternatives should come first.
B: While communication is key, trying other options for safety takes precedence.
D: Documentation is necessary but should follow the exploration of less restrictive methods.
Overall, attempting less restrictive alternatives is crucial for ethical and safe care.
Question 4 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and promote independence. Raised toilet seats reduce the risk of strain and provide stability when sitting and standing.
Choice B is incorrect because securing loose wires under carpeting can lead to tripping hazards.
Choice C is incorrect as using extension cords can increase the risk of electrical fires.
Choice D is incorrect as covering slippery stairs with an area rug can cause further slipping hazards.
Question 5 of 5
A nurse is administering multiple types of ophthalmic drugs to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 5 min between the administration of each medication. This is important to prevent dilution of the medication and ensure proper absorption in the eye. Waiting between administrations allows each medication to have its full effect before the next one is introduced. Holding the dropper 3 cm away from the eye (
A) is incorrect as it may cause inaccurate dosing. Asking the client to close their eyes tightly after instillation (
B) can prevent proper absorption. Massaging the client's eyelids (
C) can lead to contamination or injury. Waiting 5 min between medications is the best practice to ensure each drug is absorbed effectively.