ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct as documenting the provider's instructions in the medical record ensures clear communication and accountability. This helps track the client's condition and the actions taken.
Choices B, C, and D are incorrect as they do not address the immediate need to follow the surgeon's instructions. The priority is to ensure the client's vital signs are monitored as directed.
Question 2 of 5
A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?
Correct Answer: D
Rationale: The correct answer is D because having a weekly inspection checklist for oxygen equipment ensures that the client's equipment is functioning properly and reduces the risk of potential hazards. A: Using a wool blanket can pose a fire hazard due to its flammability. B: Knowing the location of the fire extinguisher is important but not directly related to oxygen safety. C: Storing an oxygen tank in a secure outdoor shed is not recommended as it should be stored in a well-ventilated area.
Question 3 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: Is your pain sharp or dull? This question helps the nurse determine the nature of the pain, which is crucial for identifying the underlying cause and choosing appropriate interventions. Sharp pain is often associated with acute conditions like muscle strains or nerve irritation, while dull pain may indicate chronic issues such as arthritis or inflammation. Asking about the quality of pain provides valuable information for treatment planning.
Choice A (constant or intermittent) focuses on pain duration, not quality.
Choice B (pain rating) assesses pain intensity, not quality.
Choice C (radiation of pain) is important but does not directly address the quality of pain.
Question 4 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. This is the correct action because high flow rates of oxygen can lead to oxygen toxicity and other complications. Nasal cannula is a common method of oxygen administration and the recommended maximum flow rate is typically 6 L/min to prevent drying out the mucous membranes and decreasing the risk of oxygen toxicity.
A: Regulating the flow rate by aligning with the ball inside the flow meter is incorrect because it does not specify a safe flow rate.
C: Allowing the reservoir bag of a partial rebreathing mask to remain deflated is incorrect as it would decrease the amount of oxygen delivered to the patient.
D: Using petroleum jelly to lubricate the client's nares, face, and lips is incorrect as it can be flammable and should not be used in the presence of oxygen therapy.
Therefore, the correct action is to regulate oxygen via nasal cannula
Question 5 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 verbalizing that breathing faster will help keep their mind off the pain indicates understanding of distraction techniques learned during preoperative teaching. This response demonstrates the client's grasp of non-pharmacological pain management strategies. Options A and B suggest increasing medication without consulting healthcare providers, which can be dangerous. Option D focuses on listening to music for pain relief, which is a helpful technique but not related to preoperative teaching. Option E indicates avoidance of walking due to pain, which is not in line with effective pain management strategies.