ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: A
Rationale: The correct answer is A: A nurse administers a medication without first identifying the client. This is an example of negligence because it violates the standard of care expected from a nurse, which includes verifying the client's identity before administering any medication to prevent medication errors. Negligence is defined as a failure to act with the level of care that a reasonably prudent person would exercise in similar circumstances. The other choices are not examples of negligence because:
B) Not obtaining consent for a blood transfusion may be an ethical issue but not necessarily negligence;
C) Preventing a client from leaving the facility may be a safety measure and not inherently negligent;
D) Discussing client care in a public area may breach confidentiality but does not directly relate to negligence.
Question 2 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action helps ensure that the NG tube is clear and free from any residual formula or medication, preventing potential clogs or interactions. By flushing the tube, the nurse can confirm proper tube placement and avoid any complications.
Choice A is incorrect because combining medications with the formula can lead to drug interactions and compromise the efficacy of the medications.
Choice B is incorrect as diluting medications with warm water may alter their stability and effectiveness.
Choice D is incorrect as mixing medications together in a single syringe can also result in drug interactions and inaccurate dosing.
Question 3 of 5
A nurse is reviewing the laboratory results of a female client who has liver dysfunction and is receiving a continuous tube feeding. Which of the following findings should the nurse identify as a protein deficiency?
Correct Answer: A
Rationale: The correct answer is A: Albumin 3.1 g/dL. Albumin is the main protein in the blood and is produced by the liver. In liver dysfunction, the synthesis of albumin is decreased, leading to low levels in the blood, indicating protein deficiency. Transferrin (
B) is a protein involved in iron transport, not a direct indicator of protein deficiency. Uric acid (
C) and total iron-binding capacity (
D) are not specific markers for protein deficiency.
Question 4 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action is to help the client lie on the floor first. This is crucial to prevent injury during a seizure as it provides a safe environment for the client. By lying on the floor, the client is protected from falling out of the chair, hitting their head, or sustaining other injuries. Moving items in the room away from the client, loosening clothing, and turning the client onto their side are important actions, but they should be done after ensuring the client is safely on the floor. These actions can be taken once the immediate risk of injury is minimized by having the client lie down.
Question 5 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I will repeat these movements 3 to 5 times." This is the appropriate statement because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Repeating the movements helps maintain joint flexibility and circulation.
Explanation of why the other choices are incorrect:
A: "I will move your joints to the point of mild pain" - Incorrect because pain should be avoided during passive range-of-motion exercises to prevent injury and discomfort.
C: "I will move your joints quickly" - Incorrect because slow, controlled movements are recommended to prevent injury and ensure effectiveness.
D: "These movements will be performed once per day" - Incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to promote joint mobility and prevent stiffness.