ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Recheck the client's BP in her other arm for comparison. This is the best course of action to confirm the accuracy of the initial BP reading. Taking the BP in both arms helps identify any discrepancies due to differences in blood pressure between arms or measurement errors. It also allows for better assessment of the client's overall blood pressure status.
Choice A is incorrect because the width of the BP cuff should be about 40% of the upper arm circumference, not 50%.
Choice C is inappropriate as waiting 30 minutes without immediate action can be risky if the high BP is indicative of a serious condition.
Choice D is unnecessary and may not provide additional information about the client's BP accuracy.
Question 2 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: C
Rationale: The correct answer is C: Client care provider. The nurse manager is functioning in the role of overseeing and supervising the newly licensed nurse as they perform a straight catheterization on a client to ensure proper technique and client safety. As a client care provider, the nurse manager is responsible for ensuring that the client receives safe and effective care.
Explanation for the other choices:
A: Client educator - This role involves providing information and teaching clients about their health conditions or treatments. The nurse manager in this scenario is not directly educating the client.
B: Client advocate - This role involves speaking up for the client's best interests. While important, it is not the primary role being demonstrated in this scenario.
D: Case manager - This role involves coordinating care and services for clients across different healthcare settings. The nurse manager in this scenario is focused on direct observation and supervision of a procedure, rather than overall care coordination.
Question 3 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don't swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional threat of harmful or offensive contact with an individual that causes reasonable apprehension of imminent contact. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, leading to the client's reasonable fear of imminent bodily harm. Defamation (
B) involves false statements that harm a person's reputation, Battery (
C) is the intentional harmful or offensive contact without consent, and Invasion of privacy (
D) involves intruding on an individual's private affairs. In this case, Assault best fits the situation described.
Question 4 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?
Correct Answer: B
Rationale: The correct answer is B: Ensure the client is free of metal objects. This is important because during an intravenous pyelogram, metal objects can interfere with the imaging process by causing artifacts on the images. Ensuring the client is free of metal objects helps to obtain clear and accurate results.
A: Assisting the client with a bowel cleansing is not necessary for an intravenous pyelogram procedure.
C: Administering oral contrast is not typically required for an intravenous pyelogram.
D: Monitoring for pain in the suprapubic region is not directly related to preparing for an intravenous pyelogram.
Question 5 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Roll the client as one unit in a smooth, continuous motion. This is the correct action because repositioning the client as one unit minimizes strain on the lower back area, reducing the risk of further injury. Rolling the client smoothly and continuously ensures a controlled movement, preventing sudden jerks or jolts that could exacerbate the injury.
B: Flex the client's knees - While flexing the client's knees can provide some support, it does not address the primary concern of repositioning the client as one unit to prevent strain on the lower back.
C: Place the client's arms at their sides - The position of the client's arms is not directly related to repositioning a client with a lower back injury.
D: Place the client on the side of the bed nearest the direction they will be turned - This action does not address the proper technique of repositioning the client as one unit to protect the lower back.
Overall, choice A