ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: A
Rationale:
Correct Answer: A - Prepare the client for a central venous line.
Rationale: Parenteral nutrition with high dextrose concentration can cause phlebitis and vein irritation if administered through peripheral IV. A central venous line allows for the hypertonic solution to be infused safely into a larger vein, reducing the risk of complications.
Summary of other choices:
B: Changing the PN infusion bag every 48 hr is a standard practice, but it is not directly related to the type of solution being infused.
C: Obtaining a random blood glucose daily is important for monitoring, but it does not address the specific safety issue related to administering high dextrose concentration.
D: Administering the PN and fat emulsion separately may be necessary for compatibility reasons, but it does not address the safety concern of using a central venous line for the 20% dextrose solution.
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 teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The correct answer is A. The client's belief that his needs will be met through education is likely to increase motivation to learn because it aligns with the concept of self-determination theory. This theory posits that individuals are motivated when they perceive that their needs for autonomy, competence, and relatedness are met. In this case, the client believing that his needs will be met through education satisfies his need for competence in managing his health.
Choice B is incorrect because simply being told the need for education may not necessarily increase motivation without the client perceiving a personal benefit.
Choice C is incorrect as seeking family approval is an external motivator and may not necessarily lead to sustained motivation.
Choice D is incorrect as empathy from the nurse, while important, may not directly impact the client's motivation to learn.
Question 5 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Keep the drainage bag below the level of the bladder. This is important to prevent backflow of urine into the bladder, reducing the risk of urinary tract infections. Placing the drainage bag below the level of the bladder ensures a continuous flow of urine out of the bladder and into the bag. Option B is incorrect as attaching the drainage bag to the side rails can cause tension on the catheter, leading to displacement or obstruction. Option C is incorrect as the drainage bag should be emptied when it is half-full to prevent backflow or infection. Option D is incorrect as taping the catheter to the lower abdomen can cause tension and discomfort.