ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Verify the dose of insulin with another nurse once it is prepared. This is the first action the nurse should perform to ensure patient safety through a double-check process. It helps prevent medication errors by confirming the accuracy of the insulin dose before administration. Administering the insulin dose using a tuberculin syringe (
A) may be appropriate, but verifying the dose first is crucial. Using a filter needle when withdrawing medication from the multidose vial (
B) is not necessary for administering insulin. Mixing long-acting and rapid-acting insulin in one syringe (
D) is contraindicated as it may alter the pharmacokinetics of the insulin types.
Question 2 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Endotracheal suctioning. This procedure should be prioritized as it is essential for maintaining the client's airway patency and preventing respiratory complications. Endotracheal suctioning helps remove secretions that may obstruct the airway and impede oxygenation. Failure to perform this procedure promptly can lead to respiratory distress or compromise the client's breathing. Urinary catheter care (
A), wound irrigation (
B), and enteral feeding (
C) are important aspects of care but do not take precedence over airway management. Prioritizing endotracheal suctioning ensures the client's respiratory needs are addressed first before attending to other care tasks.
Question 3 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: The correct answers are B, C, F, and G.
B: The steroid dose will decrease each day to gradually taper off the medication and prevent withdrawal symptoms.
C: Adjusting the oxygen flow rate as needed to ease breathing helps maintain adequate oxygen levels, promoting respiratory function.
F: Steroid medication should be taken in the morning to mimic the body's natural cortisol production rhythm and reduce the risk of sleep disturbances.
G: Ensuring the oxygen delivery system is at least 8 feet from any heat source prevents fire hazards and maintains safe oxygen levels.
Incorrect answers:
A: Antibiotic medication should be taken as prescribed, whether with or without food depends on the specific medication.
D: Antibiotic therapy duration varies based on the type of infection; it should be completed as prescribed.
E: The oxygen cylinder wrench should be stored in a separate, easily accessible location for emergency use, not attached to the oxygen tank.
Question 4 of 5
A nurse is reviewing the client’s medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: The correct answer includes family history, fasting glucose level, history of hyperlipidemia, hypertension, and cholesterol level. Family history is a non-modifiable risk factor for heart disease. Elevated fasting glucose indicates potential diabetes, a risk factor for heart disease. Hyperlipidemia contributes to plaque buildup in arteries. Hypertension strains the heart and blood vessels. Abnormal cholesterol levels can lead to atherosclerosis.
Choices D and G are not directly linked to heart disease risk.
Question 5 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: A
Rationale: The correct answer is A: Read the medication label twice prior to administration. This is crucial to ensure that the right medication, dosage, and route are being administered to the correct patient. By double-checking the medication label, the nurse can verify that there are no errors or discrepancies that could lead to medication errors. Using one patient identifier (
Choice
B) is important but not specific to medication safety. Accessing the online drug formulary (
Choice
C) is helpful for additional information but not essential for immediate safe administration. Asking the client about previous medication history (
Choice
D) is relevant but does not guarantee safe administration as it relies on the client's memory and may not always be accurate.