ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This is an expected finding in an eye assessment as normal eyelashes typically curve slightly outward. Eyelids blinking involuntarily (
B) is a normal physiological response, but the rate mentioned is too high. Pupils (
C) are normally 3 to 4 mm in diameter, not 8 to 9 mm. Corneas with an opaque appearance (
D) suggest a potential issue like corneal edema.
Question 2 of 5
A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I can give you the contact information for someone to assist you with recovering your password." This is the best option because it promotes confidentiality and adheres to ethical standards. It avoids sharing personal login information, which can breach security protocols and potentially result in disciplinary actions. By providing contact information for password recovery assistance, the nurse is directing the colleague towards the appropriate channels for resolving the issue. This approach upholds professionalism and accountability.
Other
Choices:
A: Seeing the supervisor for a temporary password may not be the most efficient or secure method for resolving a forgotten password issue.
B: Providing client information to the charge nurse for documentation is inappropriate and could compromise patient privacy.
D: Allowing another nurse to use one's own password is a violation of security policies and sets a risky precedent for future incidents.
Question 3 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label?
Correct Answer: B,C,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are when removing the medication from the drawer, directly before administering the medication, and when preparing the medication dosage. Comparing the medication administration record with the label when removing the medication ensures that the correct medication is being taken out. Checking again directly before administration ensures the right medication is given to the right patient. Lastly, verifying the medication dosage during preparation ensures accurate dosing. The other options are incorrect because comparing at the end of the shift may lead to errors going unnoticed, reconciling counts of controlled substances is unrelated to checking medication accuracy, and comparing when reconciling counts may not catch errors in administration.
Question 4 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: The correct answer is A because using a straw with thickened juice can increase the risk of aspiration for a client with dysphagia. Straws can bypass the natural swallowing process, leading to potential choking or aspiration. Option B is correct as it promotes proper positioning for swallowing. Option C is incorrect as taking breaks during meals is common for clients with dysphagia to prevent fatigue. Option D is also correct as tucking the chin helps to protect the airway during swallowing.
Question 5 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.