ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has nausea and a prescription for metoclopramide intravenously every 8 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which explanation should the nurse provide?How does metoclopramide relieve nausea?
Correct Answer: A,D
Rationale: The correct answers are A and D. Metoclopramide relieves nausea by promoting gastric emptying, which helps move food through the stomach faster. This action reduces the feeling of fullness and discomfort, ultimately alleviating nausea. Additionally, enhancing gastric emptying helps prevent reflux, which can contribute to nausea.
Choices B and C are incorrect because metoclopramide does not work by relaxing gastric muscles or decreasing gastric acid secretions. These mechanisms do not directly address the issue of delayed gastric emptying, which is the primary reason for nausea relief with metoclopramide.
Question 2 of 5
A nurse is caring for a child who is allergic to penicillin. Which prescription should the nurse verify with the provider?,Which prescription should be verified for a penicillin-allergic child?
Correct Answer: A
Rationale: The correct answer is A: Amoxicillin-clavulanate. This is because amoxicillin-clavulanate belongs to the penicillin class of antibiotics and can potentially trigger an allergic reaction in a child who is allergic to penicillin. The nurse should verify this prescription with the provider to avoid any adverse reactions. Gentamicin (
B) is an aminoglycoside antibiotic and is not related to penicillin. Erythromycin (
C) is a macrolide antibiotic, which is also unrelated to penicillin. Amphotericin (
D) is an antifungal medication and does not belong to the penicillin class. It is crucial for the nurse to ensure that the child does not receive any medication that could cause an allergic reaction due to their penicillin allergy.
Question 3 of 5
A nurse is educating a patient with diabetes who has been prescribed insulin glargine. What information should the nurse provide about this type of insulin?,What information should be provided about insulin glargine?
Correct Answer: B,C
Rationale: The correct answer is B and C. Insulin glargine is a long-acting insulin that provides a basal level of insulin over an extended period. Option B states that it lasts for 18 to 24 hours, which is accurate as it mimics the body's natural basal insulin secretion. Option C also mentions 16 to 24 hours, which is within the range of the duration of action for insulin glargine. Option A stating 3 to 6 hours is incorrect as it does not reflect the long-acting nature of insulin glargine. Option D stating 6 to 10 hours is also incorrect as it underestimates the duration. It is important for the nurse to emphasize the prolonged action of insulin glargine to ensure proper understanding and management by the patient.
Question 4 of 5
A nurse is caring for a patient who frequently tries to remove his IV catheter. A family member asks the nurse to apply restraints. What should the nurse's response be? What should the nurse respond to a request for restraints?
Correct Answer: B
Rationale: The correct answer is B: "I will cover the catheter so he can't see it." This response addresses the root cause of the patient's behavior by removing the visual stimulus that may be prompting the patient to try to remove the IV catheter. By covering the catheter, the patient may be less likely to attempt to remove it. This approach is non-invasive and respects the patient's autonomy while also ensuring the safety of the IV site.
Choice A is incorrect because applying restraints should not be the first course of action without exploring less restrictive alternatives.
Choice C delays addressing the issue and risks harm to the patient.
Choice D is incorrect as applying restraints immediately is a more invasive intervention that should only be considered after less restrictive measures have been attempted.
Question 5 of 5
A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution? In what sequence should the nurse pour sterile solution?
Order the Items
Source Container
Correct Answer: D,A,F,C,E,B
Rationale: The correct sequence is D, A, F, C, E, B.
1. Perform hand hygiene to ensure cleanliness.
2. Pick up the bottle with the label facing the palm to maintain sterility.
3. Remove the bottle cap to prepare for pouring.
4. Pour 1 to 2 mL into a receptacle to ensure proper amount.
5. Place the bottle cap face-up on a clean surface to prevent contamination.
6. Pour the solution onto the gauze for the sterile procedure to be completed.
Incorrect choices:
- G: It is not a step in the process of pouring sterile solution.
- The correct order ensures sterility, proper amount, and prevention of contamination.