ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: The correct answer is B: Determine whether the client can afford the insulin administration supplies. This should be the nurse's first priority because it directly impacts the client's ability to adhere to the prescribed treatment plan. If the client cannot afford the supplies, they may not be able to properly manage their diabetes, leading to serious complications. Ensuring affordability promotes client safety and adherence.
A: Making a copy of the medication reconciliation form can be done later and is not as urgent as addressing the client's financial concerns.
C: Providing the client with a contact number for a diabetes education specialist is important but addressing affordability should come first.
D: Obtaining printed information about insulin self-administration is important but not as critical as ensuring the client can afford the supplies.
Question 2 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Give the client a sponge bath using an alcohol-water solution. This helps to reduce the client's body temperature through evaporative cooling. Alcohol evaporates quickly, enhancing heat loss. Applying a bath blanket between the client and a cooling blanket (
A) may not be as effective in reducing the client's temperature as a sponge bath. Covering the client with heavy blankets after shivering subsides (
B) may trap heat and worsen the fever. Placing ice packs on the client's neck and behind the knees (
D) may cause vasoconstriction and hinder heat loss.
Question 3 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wear an N95 respirator mask when caring for the client." This is the correct choice because MRSA can be transmitted through respiratory droplets, and wearing an N95 respirator mask can help prevent the spread of the infection. Removing the gown before gloves (choice
A) is incorrect as it increases the risk of contamination. Asking visitors to wear a mask (choice
B) may be helpful but does not directly address the nurse's protection. Placing the client in a private room (choice
D) is important for isolation but does not focus on the nurse's protection.
Question 4 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place the extremity in a dependent position. Placing the extremity in a dependent position helps to engorge the veins, making them more visible and easier to access during IV catheter insertion. This position also promotes venous return and reduces the risk of infiltration.
Choice A is incorrect because the tourniquet should be placed above the proposed insertion site to occlude the veins and make them more prominent.
Choice B is incorrect because applying a cool compress would cause vasoconstriction, making it harder to locate and access the veins.
Choice D is incorrect because the most distal site should be chosen for IV catheter insertion to preserve more proximal sites for future use.
Question 5 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.