ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports frequent headaches and believes balance is achieved through the concept of yin and yang. Which of the following foods should the nurse expect the client to choose to treat their headache?
Correct Answer: A
Rationale: The correct answer is A: Honey. In Traditional Chinese Medicine, honey is considered to have yin properties, which can help balance excessive yang energy causing headaches. Honey is sweet and moist, qualities associated with yin energy. Fresh vegetables (
B) are neutral, chicken (
C) is considered yang, and chili peppers (
D) are very yang, exacerbating headaches. Honey is the ideal choice to balance the client's yin and yang energies and alleviate the headaches.
Question 2 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client’s BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Recheck the client's BP in her other arm for comparison. This is the best course of action to ensure accuracy of the BP reading. By rechecking the BP in the other arm, the nurse can determine if the initial reading was accurate or if there are any significant differences between the arms. This can help identify any potential issues such as arterial blockages or other underlying conditions affecting the BP.
Choice A is incorrect because the width of the BP cuff should be 40% of the upper arm circumference, not 50%.
Choice B is not necessary unless the client is showing signs of distress or discomfort, as it is important to keep the client in the same position for consistent readings.
Choice D is unnecessary unless there are specific reasons to suspect inaccurate readings or if the client's condition changes significantly.
In summary, rechecking the BP in the other arm is the most appropriate action to verify the accuracy of the initial reading and ensure the client's safety.
Question 3 of 5
A nurse in a clinic is teaching a client who has diabetes mellitus about self-administration of insulin using a prefilled, multidose pen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Use pen needles that have a safe-needle protection device attached. This is important because it helps prevent accidental needle sticks and ensures safe disposal. Using needles with safety features reduces the risk of injury to both the client and healthcare provider. Option A is incorrect as pinching the skin can affect proper insulin absorption. Option C is incorrect as recapping needles increases the risk of needle-stick injuries. Option D is incorrect as removing the needle before disposing of it can lead to accidental needle sticks.
Question 4 of 5
A nurse is reviewing the client’s medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: The correct answer includes family history, fasting glucose level, history of hyperlipidemia, hypertension, and cholesterol level. Family history is a non-modifiable risk factor for heart disease. Elevated fasting glucose indicates potential diabetes, a risk factor for heart disease. Hyperlipidemia contributes to plaque buildup in arteries. Hypertension strains the heart and blood vessels. Abnormal cholesterol levels can lead to atherosclerosis.
Choices D and G are not directly linked to heart disease risk.
Question 5 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: A
Rationale: The correct answer is A: Read the medication label twice prior to administration. This is crucial to ensure that the right medication, dosage, and route are being administered to the correct patient. By double-checking the medication label, the nurse can verify that there are no errors or discrepancies that could lead to medication errors. Using one patient identifier (
Choice
B) is important but not specific to medication safety. Accessing the online drug formulary (
Choice
C) is helpful for additional information but not essential for immediate safe administration. Asking the client about previous medication history (
Choice
D) is relevant but does not guarantee safe administration as it relies on the client's memory and may not always be accurate.