ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: D
Rationale: The correct answer is D. Wearing a mask when working within 3 feet of the client is essential to prevent the spread of respiratory infections like influenza. The mask acts as a barrier to prevent the nurse from inhaling respiratory droplets containing the virus.
A: Administering metronidazole is unrelated to preventing the spread of influenza.
B: Protective eyewear is not necessary for preventing respiratory infections like influenza.
C: Placing the client in a negative airflow room is not typically required for influenza isolation precautions.
E, F, G: No additional options provided.
Question 2 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to prevent irritation and damage to the stoma. If the pouch is too tight, it can cause pressure on the stoma leading to necrosis. If the pouch is too loose, leakage can occur. Applying the pouch while the skin barrier is still damp (choice
A) can lead to poor adhesion. Changing the pouch once every 24 hr (choice
B) may be too frequent and can irritate the skin. Rubbing the peristomal skin dry after cleaning (choice
C) can cause skin irritation.
Question 3 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. The nurse should request a referral to an occupational therapist for the client with severe rheumatoid arthritis in her hands because an occupational therapist specializes in helping individuals regain independence in activities of daily living, such as feeding oneself. An occupational therapist can provide interventions to improve hand function and teach adaptive techniques to help the client feed herself.
Choice A, a social worker, focuses on psychosocial needs and support services rather than physical rehabilitation.
Choice C, a physician assistant, typically provides medical care but may not have the specialized skills in hand therapy.
Choice D, a physical therapist, focuses more on overall mobility and physical function rather than specific hand function in feeding.
Question 4 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E. A is correct because comparing them when preparing the medication dosage ensures the right medication is being administered. D is important when removing the medication from the drawer to verify it matches the record. E is crucial directly before administering to double-check accuracy.
Choice B is incorrect as reconciling controlled substances doesn't involve verifying specific medications.
Choice C at the end of the shift is not ideal as errors may have already occurred.
Question 5 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product’s compatibility with the client’s blood type. Before administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves verifying the client's blood type and cross-matching it with the blood product to prevent adverse reactions.
Choice B is incorrect because lactated Ringer's should not be used to prime the tubing for blood transfusion, as it can cause hemolysis.
Choice C is incorrect as a small gauge IV catheter may not be suitable for blood transfusion due to the viscosity of packed RBCs.
Choice D is incorrect as confirming the client's identity with the blood bank technician is important but does not address the immediate safety concern of blood type compatibility.