ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a temperature of 40°C (104°F). Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Administering antipyretics reduces fever by acting on the hypothalamus lowering metabolic demands. Ambulation is inappropriate cold sponge baths risk vasoconstriction and shivering and fans are less effective than antipyretics for high fever.
Question 2 of 5
A nurse is setting up a sterile field prior to changing a client's dressing. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the sterile kit on the overbed table above waist level maintains sterility by avoiding contamination from lower surfaces. Opening the flap toward the body turning back to the field when coughing or dropping gauze from 12 inches risks contaminating the sterile field.
Question 3 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slowly instilling 400 to 500 mL of solution effectively flushes the bladder without overdistension. Clamping the tubing prevents solution flow using a needle is inappropriate and withdrawing solution disrupts the irrigation process.
Question 4 of 5
A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Dishwashing gloves adhesive tape and rubber bands often contain latex triggering allergies. Macadamia nuts and bananas are unrelated to latex allergies though they may cause other allergies.
Question 5 of 5
A nurse on a medical-surgical unit is planning care for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: Using a pulse oximeter is a routine task suitable for delegation to an AP for a stable client. Suppository administration spirometer instruction and glucose monitoring require nursing judgment and should not be delegated.