ATI RN Fundamentals 2023 I | Nurselytic

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.

Correct Answer: B

Rationale: The correct answer is B: Three-point gait. This gait technique is suitable for a client who can only bear weight on one leg as it involves bearing weight on both crutches and the unaffected leg while the affected leg remains non-weight bearing. The swing-through gait (
A) involves both legs swinging through together, which may not be feasible for a client with weight-bearing restrictions. The four-point alternating gait (
C) and two-point alternating gait (
D) require partial weight-bearing on both legs, which is not suitable for this client.

Correct Answer: A

Rationale: The correct answer is A: A nurse administers a medication without first identifying the client. This is an example of negligence because it violates the standard of care expected from a nurse, which includes verifying the client's identity before administering any medication to prevent medication errors. Negligence is defined as a failure to act with the level of care that a reasonably prudent person would exercise in similar circumstances. The other choices are not examples of negligence because:
B) Not obtaining consent for a blood transfusion may be an ethical issue but not necessarily negligence;
C) Preventing a client from leaving the facility may be a safety measure and not inherently negligent;
D) Discussing client care in a public area may breach confidentiality but does not directly relate to negligence.

Correct Answer: B

Rationale: The correct answer is B: Use pen needles that have a safe-needle protection device attached. This is important because it helps prevent accidental needle sticks and ensures safe disposal. Using needles with safety features reduces the risk of injury to both the client and healthcare provider. Option A is incorrect as pinching the skin can affect proper insulin absorption. Option C is incorrect as recapping needles increases the risk of needle-stick injuries. Option D is incorrect as removing the needle before disposing of it can lead to accidental needle sticks.

Correct Answer: D

Rationale: The correct answer is D: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure who take hydrochlorothiazide may experience nocturia, which can increase the risk of falls at night due to frequent trips to the bathroom. Leaving a light on in the bathroom at night can help the client navigate safely.


Choice A is incorrect because weighing once weekly does not address the safety concern related to nocturia.
Choice B is incorrect as taking the medication in the evening is not directly related to safety considerations.
Choice C is incorrect because taking a hot bath before bed may exacerbate heart failure symptoms.