ATI RN
ATI Fundamentals 2023 Retake 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: B
Rationale: The correct answer is B: Wear a mask when working within 3 feet of the client. Wearing a mask within close proximity to the client helps prevent the spread of respiratory droplets containing the influenza virus. Protective eyewear (
Choice
A) may be necessary for certain procedures but is not specific to preventing influenza transmission. Placing the client in a negative airflow room (
Choice
C) is not typically required for influenza isolation. Administering metronidazole (
Choice
D) is an antibiotic used for certain infections but is not indicated for influenza.
Question 2 of 5
A nurse is reviewing a medication prescription that reads, 'Morphine 5 mg IV bolus for pain'. Which of the following components should the nurse clarify with the provider?
Correct Answer: B
Rationale: The correct answer is B: Time. The nurse should clarify the time for administering the medication as it is missing from the prescription. Without a specified time, the nurse cannot ensure timely and appropriate administration. The other components (A: Dose, C: Medication, D: Route) are clearly stated in the prescription and do not require clarification. Time is a crucial factor in medication administration, affecting the effectiveness and safety of the medication. Clarifying the time ensures accurate and timely administration, preventing errors.
Question 3 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: A
Rationale: The correct answer is A: Client advocate. In this scenario, the nurse manager is advocating for the safety and well-being of the client by ensuring that the newly licensed nurse performs the straight catheterization correctly. The role of a client advocate involves protecting the client's rights and interests. This includes ensuring that proper procedures are followed to prevent harm or errors. The other choices are incorrect because: B: Client care provider - The nurse manager is not directly providing care to the client in this situation. C: Case manager - The nurse manager is not managing the client's case or coordinating care. D: Client educator - The nurse manager is not educating the client in this scenario. The key focus here is on observing and ensuring the correct procedure is followed for the client's safety.
Question 4 of 5
A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
Correct Answer: C
Rationale: The correct answer is C: A middle adult assumes their parent's responsibilities. This indicates a change in the family system as it suggests a shift in roles and dynamics within the family. The middle adult taking on their parent's responsibilities signifies a significant change in the family structure and functioning.
A: A young adult developing a close, personal relationship is a normal developmental milestone and does not necessarily indicate a change in the family system.
B: A young adult focusing on their career is also a typical developmental stage and does not directly relate to a change in the family system.
D: A middle adult experiencing physical changes is a part of the aging process and may not necessarily signify a change in the family system.
Therefore, choice C is the most relevant in the context of assessing the impact of stressors on a family system.
Question 5 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will perform ankle and knee exercises every hour." This statement indicates an understanding of the teaching because performing ankle and knee exercises can help improve circulation, maintain muscle strength, and prevent blood clots which are common adverse effects of immobility. By engaging in regular exercises, the client can mitigate the negative impacts of being immobile.
Choice A is incorrect because holding breath when rising from a sitting position can increase the risk of orthostatic hypotension.
Choice B is incorrect as changing positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C is incorrect as removing antiembolic stockings while in bed can increase the risk of blood clots.