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 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 wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. Removing one restraint at a time allows for gradual release of restraint pressure, preventing sudden movement that could result in injury. Tying restraints to the side rail (
A) increases risk of injury. Securing restraints with a square knot (
C) may be difficult to untie quickly in an emergency. Removing restraints every 3 hours (
D) does not address the immediate need for safety.
Question 4 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 5 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C. Alanine aminotransferase (ALT) is an enzyme found predominantly in the liver. Elevated ALT levels indicate liver damage or disease.
Therefore, by checking ALT levels, the test provides information about the function of the liver.
Choice A is incorrect because ALT is not related to kidney function.
Choice B is incorrect because ALT does not assess heart function.
Choice D is incorrect because ALT does not indicate the risk of developing blood clots.