ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: C
Rationale: The correct answer is C: Compare the client's home medications with the provider's prescriptions. This is essential for medication reconciliation to ensure accuracy and safety. By comparing the client's existing medications with the new prescriptions, the nurse can identify any discrepancies or potential interactions. This step helps prevent medication errors and ensures continuity of care.
Incorrect answers:
A: Verifying the client's name on their identification bracelet is important for identification but not specifically related to medication reconciliation.
B: Calling the pharmacy does not directly address comparing home medications with provider prescriptions.
D: Placing home medication bottles in a secure location is not part of the medication reconciliation process.
Question 2 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Sodium 130 mEq/L. A sodium level of 130 mEq/L is considered hyponatremia, indicating low sodium concentration in the blood which can lead to neurological symptoms like confusion and seizures. The nurse should report this finding to the provider for further evaluation and treatment.
Choice B: Creatinine 1.0 mg/dL is within the normal range and does not indicate a fluid or electrolyte imbalance.
Choice C: Sodium 135 mEq/L is within the normal range and does not require immediate reporting.
Choice D: Potassium 5.4 mEq/L is slightly elevated but not as critical as hyponatremia. It may indicate hyperkalemia, which can affect cardiac function but does not require immediate reporting in this case.
Question 3 of 5
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C because using the planning step of the nursing process to prioritize client care delivery allows the nurse to systematically organize and prioritize tasks based on client needs, urgency, and importance. By following this approach, the nurse can allocate time efficiently to address critical client needs first, thus optimizing time management.
Choice A is incorrect as combining client care tasks may lead to overlooking specific client needs or compromising the quality of care.
Choice B is incorrect because waiting until the end of the shift to document client care can result in inaccuracies, omissions, or delays in recording important information.
Choice D is incorrect as allowing interruptions in tasks to discuss client care issues with colleagues can disrupt workflow and hinder time management.
Overall, utilizing the planning step of the nursing process is the most effective strategy for managing time and ensuring comprehensive and timely client care.
Question 4 of 5
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: The correct choices are A, B, C, and E.
A) Wearing an N95 mask is essential for respiratory protection.
B) Placing a container for soiled linens in the room prevents contamination.
C) Isolating the client in a negative airflow room helps prevent the spread of airborne pathogens. E) Wearing a sterile water-resistant gown within 3 feet of the client reduces the risk of contact transmission.
D) Removing the mask after exiting the room increases the chance of self-contamination. Thus, D is incorrect. Option F and G are not provided in the question.
Question 5 of 5
A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Use sterile technique when performing tracheostomy care at home. This is vital to prevent infections and complications. Sterile technique involves maintaining cleanliness and minimizing the risk of introducing pathogens.
Choices A, B, and D are incorrect. A: Removing the outer cannula carelessly can cause injury or displacement. B: Using tracheostomy covers outdoors is important for filtration but not the primary aspect of care. D: Cleaning mist with hydrogen peroxide can be harmful to the skin and mucous membranes.