ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct equipment to place at the client's bedside for seizure precautions includes oral suction equipment (
B) to clear secretions, supplemental oxygen supplies (
C) to support oxygenation during and after a seizure, and an oral airway (E) to maintain a patent airway and prevent aspiration. Limb restraints (
A) are not recommended as they can increase the risk of injury during a seizure. A blood glucose monitor (
D) is not directly related to seizure precautions.
Question 2 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your visitors will need to wear protective gowns. This is important because patients undergoing allogeneic stem cell transplant have weakened immune systems and are at a high risk of infection. Visitors can introduce harmful pathogens, hence the need for protective gowns.
Incorrect answers:
A: Negative-airflow rooms are used for patients with airborne infections, not specifically for stem cell transplant recipients.
B: Semi-private rooms may increase the risk of exposure to pathogens from other patients.
D: The patient, not the nurse, should wear a mask when outside the room to protect themselves.
In summary, choice C is correct as it directly addresses the need to protect the patient from potential infections brought in by visitors.
Question 3 of 5
A nurse is preparing a medication from a vial for a subcutaneous injection for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Hold the syringe so that bubbles collect at the level of the plunger. This is important to prevent air bubbles from being injected into the client, as they can cause harm. By holding the syringe in a way that allows any air bubbles to collect at the top near the plunger, the nurse can easily push them out before administering the medication.
Choice A is incorrect because injecting air into the vial with the needle immersed in the fluid can introduce air bubbles into the vial.
Choice B is incorrect as holding the syringe at a 45° angle does not specifically address the issue of air bubbles.
Choice D is incorrect as holding the vial with the top facing upward while injecting air can lead to air bubbles being pushed into the vial instead of out.
Question 4 of 5
A nurse is caring for a client who is postoperative and asks the nurse, 'When will I get to go home? I'm not sure what happens next.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inform the provider that the client is requesting information about his treatment plan. This is the best course of action as it ensures the client's concerns are communicated directly to the provider, who can then address the client's questions and provide necessary information.
Choice A is incorrect because it delays the client's access to important information by relying on the provider's availability.
Choice B is incorrect as it does not address the client's immediate need for information.
Choice D is incorrect because it assumes the provider's decision-making without involving the client or providing clarity.
Question 5 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: B
Rationale: The correct assessment the nurse should perform first is B: Peripheral pulses. Monitoring peripheral pulses is crucial when a client is restrained to detect any signs of compromised circulation. This assessment takes priority over the other options because impaired circulation can lead to serious complications such as tissue damage or even limb loss. Assessing skin integrity, comfort level, and elimination needs are important tasks but can wait until after ensuring adequate circulation. Checking peripheral pulses is the initial step to ensure the client's safety and prevent potential harm.