ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. "New dressing applied as prescribed" - This entry documents the action taken by the nurse, ensuring compliance with the care plan.
2. "No drainage on old dressing" - This indicates the status of the wound, showing that there is no abnormal discharge.
3. It provides specific and relevant information related to the dressing change, demonstrating thorough documentation.
Incorrect
Choices:
A: Irrelevant information about premedication with MSO, subq prior to dressing change.
B: Subjective assessment without concrete details or objective findings.
D: Lack of specific details or assessment of the wound's condition.
Overall, choice C provides clear, concise, and relevant information essential for accurate documentation.
Question 2 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. A indicates understanding of fire safety, B shows awareness of medication safety, and D demonstrates knowledge of fall prevention. Option C is incorrect because setting the hot water heater to 140 degrees Fahrenheit is too hot and can cause burns. Option E is incorrect because taping over frayed electrical cords is not safe and can lead to electrical hazards.
Question 3 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: "You are worried about having to wear a colostomy bag?" This response acknowledges the client's feelings and opens up a dialogue to address their concerns. It shows empathy and allows the nurse to provide education and support.
Choice A is incorrect because it dismisses the client's worries.
Choice C is incorrect as it doesn't directly address the client's concerns.
Choice D is incorrect as it focuses on the surgical aspect rather than the client's emotional needs.
Question 4 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place the extremity in a dependent position. Placing the extremity in a dependent position helps to engorge the veins, making them more visible and easier to access during IV catheter insertion. This position also promotes venous return and reduces the risk of infiltration.
Choice A is incorrect because the tourniquet should be placed above the proposed insertion site to occlude the veins and make them more prominent.
Choice B is incorrect because applying a cool compress would cause vasoconstriction, making it harder to locate and access the veins.
Choice D is incorrect because the most distal site should be chosen for IV catheter insertion to preserve more proximal sites for future use.
Question 5 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.