ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports using alcohol and controlled substances to cope with the death of their partner. The nurse should identify that maladaptive coping is an indication of which of the following types of complicated grief?
Correct Answer: B
Rationale: Exaggerated grief involves intense prolonged emotions and maladaptive behaviors such as substance use to cope as seen in this client. Chronic grief is prolonged sadness delayed grief is postponed and masked grief manifests as unrelated symptoms not substance use.
Question 2 of 5
A nurse is admitting a client who reports having diarrhea for the past 72 hr. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Providing oral replacement solution is the priority to address dehydration and electrolyte imbalances from prolonged diarrhea. Antidiarrheal medication sitz baths and stool collection are secondary to stabilizing hydration status.
Question 3 of 5
A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An air-assisted transfer device reduces friction and strain for heavy clients ensuring safety. Slider boards are less effective for 136 kg bed height adjustment is insufficient and head positioning is irrelevant to the transfer.
Question 4 of 5
A nurse is preparing to administer an oral opioid analgesic to a client. Which of the following actions should the nurse take when handling an unused portion of the medication after administration?
Correct Answer: D
Rationale: Returning unused opioids to locked narcotics storage ensures security and prevents diversion. Sending to the pharmacy unverifiable disposal or keeping in a drawer lacks accountability and safety.
Question 5 of 5
A nurse is observing a newly licensed nurse provide client care. Which of the following actions by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: Using scissors to remove tape securing a peripheral IV catheter is unsafe risking injury to the client’s skin or catheter. This requires intervention. Enema tube insertion at 8 cm elevating the head post-mortem and using a clean washcloth for catheter care are appropriate and do not require intervention.