ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps the nurse determine the nature of the pain, which is crucial for identifying the underlying cause and choosing appropriate interventions. Sharp pain is often associated with acute conditions like muscle strains or nerve irritation, while dull pain may indicate chronic issues such as arthritis or inflammation. Asking about the quality of pain provides valuable information for treatment planning.
Choice A (constant or intermittent) focuses on pain duration, not quality.
Choice B (pain rating) assesses pain intensity, not quality.
Choice C (radiation of pain) is important but does not directly address the quality of pain.
Question 2 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 3 of 5
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Lock the remaining medication in the controlled substances cabinet. This is important because opioids are controlled substances and must be securely stored to prevent diversion or misuse. By locking the remaining medication in the controlled substances cabinet, the nurse ensures that only authorized personnel have access to it, maintaining safety and compliance.
Other choices are incorrect:
A: Asking another nurse to observe the medication wastage is not necessary in this situation as the issue is about proper storage, not administration.
B: Notifying the pharmacy when wasting the medication is not relevant here as the focus should be on proper disposal and storage.
D: Disposing of the vial with the remaining medication in a sharps container is incorrect as controlled substances should be handled and stored appropriately, not simply disposed of in a sharps container.
Question 4 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 5 of 5
A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?
Correct Answer: B
Rationale: The correct answer is B: Situation background assessment and recommendation (SBAR). SBAR is a standardized communication tool that ensures clear and concise sharing of critical information during handoffs. It helps in providing continuity of care by outlining the patient's situation, background information, assessment findings, and recommendations for the next shift. This structured approach minimizes errors, enhances patient safety, and promotes effective communication among healthcare team members. Critical pathways (
A) are care plans that outline the expected progression of a patient's care but do not focus on communication during handoffs. Transfer reports (
C) are used when patients are being transferred between units or facilities. Medication administration records (
D) are used for documenting medication administration, not for communication during shift handoffs.