ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider the nurse still feels that it is unsafe. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: If the nurse still has concerns after seeking clarification the appropriate action is to contact another provider for a second opinion to ensure the safety and well-being of the client. Withholding the treatment without further consultation may not be the best course of action. Seeking additional input is important. Carrying out the prescription despite concerns about its safety may pose risks to the client. Notifying the ethics committee should be considered if there are ongoing ethical concerns or if the issue cannot be resolved through collaboration with other providers.
Question 2 of 5
A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?
Correct Answer: D
Rationale: Decreased hematocrit may be seen in fluid volume excess not deficit. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit. Increased skin turgor is a clinical manifestation of fluid volume deficit. Increased pulse rate is a compensatory response to fluid volume deficit reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.
Question 3 of 5
A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance development of suitable programs?
Correct Answer: A
Rationale: Surveying the target population helps identify specific interests and health concerns ensuring that the programs are tailored to the needs of older adults. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults. Basing the programs on their developmental stage is important but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.
Question 4 of 5
A nurse is teaching a client proper use of an albuterol inhaler during acute asthma exacerbations. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Tilted head forward is not necessary during inhaler use. The client should maintain an upright position. Shaking the inhaler before use is correct to ensure proper dispersion of the medication. Rinsing the mouth out before using the inhaler is not necessary for proper technique. Waiting 10 seconds between puffs allows for optimal delivery of the medication to the airways.
Question 5 of 5
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are usually suitable and the choice depends on factors such as accessibility and patient preference. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts with consideration for vein integrity and accessibility.