ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA pump to ensure medication is administered based on their pain, preventing overmedication. Other responses either encourage misuse or fail to educate properly.
Question 2 of 5
A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine?
Correct Answer: B
Rationale: Unlabored respirations indicate epinephrine has reduced airway swelling from angioedema, ensuring airway patency. Peripheral edema, groin pain, and blood pressure are not primary indicators of epinephrine’s effect on angioedema.
Question 3 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: B
Rationale: Placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination, adhering to infection control principles. Placing soiled linen on the floor risks spreading pathogens. Holding soiled linen against the body transfers pathogens to clothing. Shaking soiled linen aerosolizes infectious particles.
Question 4 of 5
A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Symptoms like lower back pain, chills, and itching suggest a transfusion reaction. Stopping the infusion immediately prevents further administration and prioritizes safety, followed by assessment and notification of the provider.
Question 5 of 5
A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
Correct Answer: D
Rationale: Level of sedation is the priority, as opioids can cause significant sedation and respiratory depression. Over-sedation is a precursor to serious complications like respiratory arrest, making it critical to monitor.