ATI Fundamentals 2024 Exam -Nurselytic

Questions 51

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RN ATI FUNDAMENTALS 2024 EXAM Questions

Extract:


Question 1 of 5

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?

Correct Answer: D

Rationale: The correct answer is D because having a weekly inspection checklist for oxygen equipment ensures that the client's equipment is functioning properly and reduces the risk of potential hazards. A: Using a wool blanket can pose a fire hazard due to its flammability. B: Knowing the location of the fire extinguisher is important but not directly related to oxygen safety. C: Storing an oxygen tank in a secure outdoor shed is not recommended as it should be stored in a well-ventilated area.

Question 2 of 5

A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

Correct Answer: A

Rationale: The correct answer is A: Use the complete name of the medication magnesium sulfate. This is important for clarity and to avoid confusion with other medications. Using the full name helps prevent errors in medication administration.
Choice B is incorrect because spacing between the dose and unit is less critical compared to using the full name of the medication.
Choice C is incorrect as insulin dosage should be expressed in units, not as the letter U.
Choice D is incorrect because "SC" stands for subcutaneous and should be used to indicate the route of administration, not for indicating an injection in general.

Question 3 of 5

A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct action to take first is A: Check the client for injuries. This is crucial to assess the client's immediate physical condition and prioritize necessary interventions. Checking for injuries helps determine the severity of the situation and guides further actions. Moving hazardous objects (
B) should only be done after ensuring the client's safety. Notifying the provider (
C) can wait until the client's immediate needs are addressed. Asking the client about their feelings (
D) is important but should come after ensuring no critical injuries are present.

Question 4 of 5

A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?

Correct Answer: B

Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This technique is essential for obtaining an accurate blood pressure measurement. Placing the cuff around only 50% of the arm circumference ensures the appropriate pressure on the brachial artery, leading to an accurate reading. If the cuff is too small, the reading will be falsely elevated, and if it's too large, the reading will be falsely low. This step is crucial in preventing errors in blood pressure assessment.


Choice A is incorrect as the FLACC pain rating scale is used for assessing pain in nonverbal patients, not for physical assessment techniques.
Choice C is incorrect as the apical heart rate is obtained by auscultating at the fifth intercostal space, not the third.
Choice D is incorrect because palpating the abdomen before auscultating bowel sounds can lead to altered bowel sounds due to manipulation of the abdomen.

Question 5 of 5

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?

Correct Answer: D

Rationale: The correct answer is D because having a weekly inspection checklist for oxygen equipment ensures that the client's equipment is functioning properly and reduces the risk of potential hazards. A: Using a wool blanket can pose a fire hazard due to its flammability. B: Knowing the location of the fire extinguisher is important but not directly related to oxygen safety. C: Storing an oxygen tank in a secure outdoor shed is not recommended as it should be stored in a well-ventilated area.

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