ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: B
Rationale: The correct answer is B: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. By implementing airborne precautions, the nurse can prevent the transmission of the disease to others. Airborne precautions include wearing an N95 respirator mask, placing the client in a negative pressure room, and ensuring proper ventilation. Droplet precautions (
Choice
A) are used for diseases spread through respiratory droplets, not airborne particles like tuberculosis. Protective precautions (
Choice
C) are not specific to tuberculosis. Contact precautions (
Choice
D) are used for diseases spread through direct contact with the client or their environment, not through the air like tuberculosis.
Question 2 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify the count total of the controlled substance after removing the amount needed. This is crucial to ensure accurate documentation and prevent errors in medication administration. By verifying the count total after removing the needed amount, the nurse confirms that the correct dosage has been withdrawn and prevents any discrepancies in the controlled substance inventory.
Option A is incorrect because wasting the unused portion of the controlled substance should be witnessed by another nurse, not just the signature recorded. Option B is incorrect as reporting discrepancies in the count total should be done before administration, not after. Option C is incorrect as wasted portions of controlled substances should be disposed of according to facility policy, not necessarily in a sharps container.
Question 3 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. Assigning the task of assisting with ambulation for a client who has a pulmonary infection to an assistive personnel is appropriate because it is a routine activity that does not require specialized nursing knowledge or skills. Ambulation is a basic care task that can be safely performed by assistive personnel under the supervision of a nurse. It helps promote mobility and prevent complications in clients with pulmonary infections.
Choices A, B, and C involve more complex and skilled nursing interventions that require assessment, critical thinking, and nursing judgment. Inserting a suppository, teaching how to use an incentive spirometer, and irrigating a wound all require specialized nursing knowledge and skills.
Therefore, they should not be assigned to assistive personnel.
In summary, assigning tasks that are routine and do not require nursing judgment to assistive personnel helps optimize nursing resources and promote safe and efficient care delivery.
Question 4 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.
Question 5 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: The correct answer is A: Discard the needle in a puncture-proof container. After administering the injection, the nurse must immediately discard the needle in a puncture-proof container to prevent accidental needle sticks and transmission of infections. Placing the needle on the bedside table (
B) is unsafe and can lead to injuries. Recapping the needle before disposal (
C) is discouraged as it increases the risk of needle stick injuries. Removing the needle from the syringe (
D) is unnecessary and exposes the nurse to potential harm.