ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Placing the client in high-Fowler's position helps improve oxygenation by maximizing lung expansion.
C: Administering oxygen is essential to improve oxygen levels and support respiratory function.
E: Stopping the transfusion is crucial as the client is showing signs of fluid overload, indicated by crackles and distended neck veins.
Summary of Incorrect
Choices:
B: Administering epinephrine is not indicated as the client's symptoms are related to fluid overload, not anaphylactic reaction.
D: Administering a diuretic is not the immediate priority as it won't address the acute respiratory distress caused by fluid overload.
Question 2 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In emergency situations where a patient is unconscious and requires immediate surgery to save their life, the healthcare provider has a duty to act in the best interest of the patient. The principle of beneficence dictates that the nurse should prioritize the patient's well-being and take necessary actions to provide timely treatment. In this case, preparing the client for surgery is crucial to ensure that they receive the necessary medical intervention promptly. Waiting for a family member to arrive for consent or contacting the ethics committee could delay potentially life-saving treatment. Obtaining consent from the surgeon is not appropriate as the surgeon's role is to perform the surgery, not provide consent.
Therefore, option A is the most appropriate course of action in this scenario.
Question 3 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.
Extract:
A nurse in a provider's office is caring for a client.
Exhibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements.
Client is a nonsmoker.
Client does not drink alcohol.
Question 4 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,E,F
Rationale: The correct answer includes Vitamin D level, low activity level, and lactose intolerance. Low Vitamin D levels lead to poor calcium absorption, increasing osteoporosis risk. Inadequate physical activity reduces bone density, contributing to osteoporosis. Lactose intolerance may result in low calcium intake, impacting bone health. Phosphorous level, smoking history, and alcohol use do not directly impact osteoporosis risk.
Extract:
Question 5 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E. A is correct because comparing them when preparing the medication dosage ensures the right medication is being administered. D is important when removing the medication from the drawer to verify it matches the record. E is crucial directly before administering to double-check accuracy.
Choice B is incorrect as reconciling controlled substances doesn't involve verifying specific medications.
Choice C at the end of the shift is not ideal as errors may have already occurred.