ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.
Question 2 of 5
A nurse is teaching a client about self-administering a subcutaneous injection to the abdomen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Expelling air bubbles from a prefilled syringe ensures accurate dosing preventing underdosing. A 5 cm site selection varies aspiration is unnecessary for subcutaneous injections and a 15° angle is incorrect; 45° or 90° is standard.
Question 3 of 5
A nurse is reviewing the client's right to refuse treatment with other members of the health care team. The nurse should identify this right as which of the following ethical principles?
Correct Answer: D
Rationale: Autonomy emphasizes a client’s right to make decisions about their healthcare including refusing treatment. Justice involves fair resource distribution veracity is truthfulness and fidelity is loyalty to the client’s well-being none of which directly address refusal rights.
Question 4 of 5
A nurse on a medical-surgical unit is planning care for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: Using a pulse oximeter is a routine task suitable for delegation to an AP for a stable client. Suppository administration spirometer instruction and glucose monitoring require nursing judgment and should not be delegated.
Question 5 of 5
A nurse is preparing to administer an oral opioid analgesic to a client. Which of the following actions should the nurse take when handling an unused portion of the medication after administration?
Correct Answer: D
Rationale: Returning unused opioids to locked narcotics storage ensures security and prevents diversion. Sending to the pharmacy unverifiable disposal or keeping in a drawer lacks accountability and safety.