ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning?
Correct Answer: A
Rationale: The correct answer is A. Initiating discharge planning during the admission process ensures that the nurse can start early assessment of the client's needs, establish goals, and coordinate resources for a smooth transition post-hospitalization. This proactive approach allows for comprehensive evaluation and preparation, ultimately enhancing the client's overall outcome.
Choice B is incorrect because waiting until the client's condition is stable may delay crucial planning and implementation.
Choice C is incorrect as it may not address the individual client's needs adequately.
Choice D is incorrect as family consultation should complement, not precede, the initial planning process.
Question 2 of 5
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the medication with the needle at a 45° angle. This is the correct action because enoxaparin is a subcutaneous medication that should be injected at a 45° angle to ensure proper absorption and reduce the risk of tissue damage. Administering it at this angle helps to ensure that the medication is effectively delivered into the subcutaneous tissue.
Choice B is incorrect as the administration site is not dependent on the client's dominant arm.
Choice C is incorrect as pulling the skin layer downward is not necessary for subcutaneous injections.
Choice D is incorrect as massaging the injection site after administration can lead to bruising and should be avoided.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum as prescribed.
Question 3 of 5
A nurse is admitting a client to a healthcare facility. The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Wearing an N95 mask helps prevent the spread of airborne infections.
B: Placing a container for soiled linens inside the room prevents contamination of other areas.
C: Placing the client in a negative airflow room helps contain airborne pathogens.
E: Wearing a sterile water-resistant gown within 3 feet of the client prevents contact transmission.
Incorrect
Choices:
D: Removing the mask after exiting the room increases the risk of spreading infection.
F & G: No additional choices provided, so not applicable.
Extract:
Question 4 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.
Question 5 of 5
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Subtract the amount of irrigant used from the client's urine output. This is important because when using an open irrigation technique, the nurse needs to account for the amount of irrigant introduced into the catheter to ensure accurate monitoring of urine output. By subtracting the amount of irrigant used from the total urine output, the nurse can accurately assess the client's true urine output.
Choice A is incorrect because placing the client in a semi-lying position is not directly related to the irrigation technique.
Choice B is incorrect as instilling a specific amount of 15 mL of irrigation fluid with each flush is not a standard practice for open irrigation technique.
Choice D is incorrect as the size of the syringe used for irrigation is not specified in standard guidelines.