ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is crucial to prevent irritation and pressure on the stoma, allowing proper flow of stool into the pouch.
Choice A is incorrect as applying the pouch while the skin barrier is damp can cause skin breakdown.
Choice C is incorrect as rubbing the peristomal skin dry can cause irritation.
Choice D is incorrect as changing the pouch every 24 hours is unnecessary unless leakage or irritation occurs.
Question 2 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: D
Rationale: The correct answer is D: Access the online drug formulary for an unfamiliar medication. This is important to ensure safe medication administration as it allows the nurse to verify the medication's indications, contraindications, dosages, and potential side effects. By accessing the drug formulary, the nurse can gather essential information to make informed decisions and prevent medication errors. Reading the medication label twice (
A) may help ensure accuracy but does not provide comprehensive information. Using one patient identifier (
B) is essential for patient safety but does not specifically address medication administration. Asking the client about similar medications (
C) may be helpful but does not provide objective and detailed information.
Question 3 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will walk three times per week." Walking is weight-bearing exercise, which helps build bone density and reduce the risk of osteoporosis. This statement shows understanding of the importance of physical activity in preventing osteoporosis.
Choice A is incorrect because the recommended daily calcium intake for older adults is higher than 250mg.
Choice B is incorrect because dairy products are a good source of calcium, essential for bone health.
Choice D is incorrect because sun exposure is needed for vitamin D synthesis, which is important for calcium absorption.
Question 4 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: C
Rationale: The correct answer is C: Check the blood product's compatibility with the client's blood type. Prior to administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves checking the client's blood type against the blood product's compatibility.
Choice A is incorrect as a small gauge IV catheter may not be necessary specifically for packed RBCs.
Choice B is incorrect as lactated Ringer's is not typically used to prime tubing for blood products.
Choice D is important but not the priority prior to starting the infusion.
Question 5 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action is important to ensure that the NG tube is clear and free of any residual formula or medication, preventing potential clogs or interactions. Flushing the tube with sterile water helps maintain the tube's patency and prevents any obstruction.
Summary of incorrect choices:
B: Mixing medications together in a single syringe can lead to drug interactions and inconsistent dosing.
C: Combining medications with the formula in the feeding bag can alter the medication's effectiveness and may lead to clogs in the tube.
D: Diluting each crushed medication with warm water may not effectively clear the tube and could still lead to clogs or interactions.