ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports having diarrhea for the past 72 hr. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Providing oral replacement solution is the priority to address dehydration and electrolyte imbalances from prolonged diarrhea. Antidiarrheal medication sitz baths and stool collection are secondary to stabilizing hydration status.
Question 2 of 5
A nurse is observing a newly licensed nurse provide client care. Which of the following actions by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: Using scissors to remove tape securing a peripheral IV catheter is unsafe risking injury to the client’s skin or catheter. This requires intervention. Enema tube insertion at 8 cm elevating the head post-mortem and using a clean washcloth for catheter care are appropriate and do not require intervention.
Question 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.
Question 4 of 5
A nurse is reviewing data in a client's medical record. Which of the following information should the nurse expect to find in the discharge summary section?
Correct Answer: C
Rationale: The discharge summary includes a list of community resources to support post-discharge care such as follow-up services. Emergency contact and demographic data are in admission records and intake/output summaries are in daily nursing notes.
Question 5 of 5
A nurse is reviewing the client's right to refuse treatment with other members of the health care team. The nurse should identify this right as which of the following ethical principles?
Correct Answer: D
Rationale: Autonomy emphasizes a client’s right to make decisions about their healthcare including refusing treatment. Justice involves fair resource distribution veracity is truthfulness and fidelity is loyalty to the client’s well-being none of which directly address refusal rights.