ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Determine the reasons why the client is refusing to use the incentive spirometer. The nurse's priority is to assess why the client is refusing the treatment to address the underlying issue. By understanding the client's reasoning, the nurse can provide appropriate interventions and education to encourage compliance, ensuring optimal recovery. Requesting a respiratory therapist (
A) may be helpful but does not address the client's refusal directly. Documenting the refusal (
C) is important but does not actively address the issue. Administering pain medication (
D) may provide temporary relief but doesn't address the root cause of refusal.
Question 2 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale: The correct interventions for placing a client on isolation precautions include A, B, C, and E.
A) Wearing an N95 mask is crucial for airborne precautions.
B) Placing a container for soiled linens inside the room prevents contamination.
C) A negative airflow room helps contain airborne pathogens. E) Wearing a sterile water-resistant gown within close proximity to the client prevents transmission. D is incorrect as the mask should be removed inside the client's room.
Choices F and G are likely blank options or not relevant to isolation precautions.
Question 3 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client's statement about breathing faster to keep their mind off the pain indicates understanding of distraction techniques taught preoperatively. This method helps manage pain perception.
Choices A and B suggest incorrect self-medication adjustments.
Choices D and E do not demonstrate understanding of pain management strategies.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 107
Rationale:
To calculate the infusion rate, divide the total volume (750 mL) by the total time in hours (7 hr). This gives 107.14 mL/hr, rounded to 107 mL/hr. This ensures the correct administration of the solution over the specified time. Other choices are incorrect as they do not result from the correct calculation method, leading to incorrect infusion rates and potentially affecting patient outcomes.
Question 5 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Insert the catheter at a 45-degree angle. When inserting a peripheral IV catheter for an older adult client, the nurse should aim to insert the catheter at a 45-degree angle to reduce the risk of complications such as infiltration. Inserting at this angle helps to ensure proper placement in the vein and reduces the likelihood of the catheter slipping out or causing discomfort to the client. Placing the client's arm in a dependent position (
B) is not necessary and could potentially cause unnecessary discomfort. Shaving excess hair from the insertion site (
C) is not recommended as it can irritate the skin and increase the risk of infection. Initiating IV therapy in the veins of the hand (
D) may not be the best choice for an older adult client due to potential fragility of hand veins and difficulty with vein accessibility.