ATI RN
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ATI Fundamental Exams Questions
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Question
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1 of 5
A nurse is attempting to flush the IV saline lock for a client. The client reports pain above the catheter site. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Pain above the catheter site suggests infiltration or phlebitis. Removing the IV saline lock allows assessment and prevents further complications. Warm compresses, slow injection, or firm pressure could worsen the issue if infiltration is present.
Question 2 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA pump to ensure medication is administered based on their pain, preventing overmedication. Other responses either encourage misuse or fail to educate properly.
Question 3 of 5
A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent?
Correct Answer: B
Rationale: The client, being alert and oriented with decision-making capacity, should sign the informed consent. Caregivers, partners, or those with power of attorney only sign if the client lacks capacity.
Question 4 of 5
A nurse is educating a client who is experiencing sleep disturbances and desires to decrease caffeine intake. Which of the following beverages should the nurse recommend?
Correct Answer: D
Rationale: Lemon-lime soda typically does not contain caffeine, making it suitable for reducing caffeine intake to improve sleep. Chocolate milk, diet cola, and brewed iced tea contain caffeine, which can exacerbate sleep disturbances.
Question 5 of 5
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client?
Correct Answer: D
Rationale: Protective precautions are used for immunocompromised clients like those post-stem-cell transplant to prevent infections from all sources. Contact, airborne, and droplet precautions target specific transmission modes.