ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a suspected stroke. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Performing a neurological assessment is the priority to determine the extent and type of stroke, guiding treatment. Aspirin requires provider orders, oral fluids are contraindicated due to aspiration risk, and supine positioning may not be optimal.
Question 2 of 5
A nurse is caring for a client with a suspected myocardial infarction. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Administering oxygen via nasal cannula is the priority action for a client with a suspected myocardial infarction to improve oxygenation and reduce cardiac workload. A back massage may be contraindicated due to the need for rest. Ambulation is inappropriate as it increases oxygen demand. Sedatives may be considered later but are not the priority.
Question 3 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.
Question 4 of 5
A nurse is preparing to administer an intramuscular injection. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 23-gauge needle is appropriate, but aspirating for blood ensures the needle is not in a blood vessel, which is critical for IM injections. Rapid injection causes discomfort. The site should be cleansed with alcohol, not soap and water.
Question 5 of 5
A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Verifying the client’s identity with two identifiers (e.g., name, medical record number) is the first step to ensure the right client receives the transfusion. Checking compatibility, obtaining vital signs, and starting the transfusion follow.