ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. Which of the following client-care situations requires the nurse to complete an incident report?
Correct Answer: A
Rationale: The correct answer is A because administering enoxaparin using the deltoid site is not a recommended site for injection. This deviation from the standard procedure could potentially lead to harm or complications for the client, hence requiring an incident report to document and investigate the error.
Choice B is not the correct answer because advancing the urinary catheter to a specific length during insertion is a standard procedure and does not indicate a potential error or deviation from the protocol.
Choice C is not the correct answer because cleansing a wound with sodium chloride before collecting a specimen is a routine and appropriate nursing practice.
Choice D is not the correct answer because flushing the tubing of an enteral feeding with water is a standard procedure and does not involve any potential risk to the client.
Therefore, the incident report is required only for choice A due to the potential risk associated with administering enoxaparin in the deltoid site.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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