ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client?
Correct Answer: A
Rationale: The correct answer is A: Use a bed exit alarm system. This intervention is the most appropriate as it helps alert the nurse when the client attempts to leave the bed, reducing the risk of falls and injuries. Bed exit alarms provide a non-restrictive way to monitor and ensure the safety of the client with dementia. Raising all four side rails (
B) can lead to feelings of confinement and may increase agitation. Applying a soft wrist restraint (
C) is a restrictive measure and should only be used as a last resort due to ethical and legal considerations. Dimming the lights (
D) may not directly address the risk of injury for a client with dementia.
Question 2 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. This is the correct action because high flow rates of oxygen can lead to oxygen toxicity and other complications. Nasal cannula is a common method of oxygen administration and the recommended maximum flow rate is typically 6 L/min to prevent drying out the mucous membranes and decreasing the risk of oxygen toxicity.
A: Regulating the flow rate by aligning with the ball inside the flow meter is incorrect because it does not specify a safe flow rate.
C: Allowing the reservoir bag of a partial rebreathing mask to remain deflated is incorrect as it would decrease the amount of oxygen delivered to the patient.
D: Using petroleum jelly to lubricate the client's nares, face, and lips is incorrect as it can be flammable and should not be used in the presence of oxygen therapy.
Therefore, the correct action is to regulate oxygen via nasal cannula
Question 3 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 4 of 5
A nurse +2:43 is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Pharyngeal diphtheria is primarily spread through respiratory droplets. Droplet precautions involve wearing a mask, eye protection, and gown when within 3 feet of the client. This is to prevent the transmission of pathogens through close contact. Contact precautions (choice
A) are used for diseases spread by direct contact with the client or their environment. Airborne precautions (choice
C) are for diseases transmitted through small particles that remain in the air for long periods. Protective precautions (choice
D) are not specific to any particular mode of transmission.
Question 5 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.