ATI RN
ATI RN Fundamentals 2019 II 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 first action because if the client cannot afford the supplies, they will not be able to properly manage their diabetes with insulin therapy. This step ensures the client's ability to adhere to the treatment plan. Making a copy of the medication reconciliation form (
A) can wait until after addressing the affordability issue. Providing the client with a contact number for a diabetes education specialist (
C) and obtaining printed information about insulin self-administration (
D) are important steps but can follow ensuring affordability.
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 answer is C: Give the client a sponge bath using an alcohol-water solution. This action helps to promote heat loss through evaporation, aiding in reducing the high fever. Alcohol evaporates quickly, leading to a cooling effect on the skin. Applying a bath blanket between the client and a cooling blanket (
A) may insulate heat, hindering cooling. Covering the client with heavy blankets after shivering subsides (
B) can trap heat, exacerbating the fever. Placing ice packs on the client's neck and behind the knees (
D) can lead to vasoconstriction, reducing heat loss efficiency.
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: D
Rationale: The correct answer is D: "I will place the client in a private room." This is correct because MRSA is highly contagious, and placing the client in a private room helps prevent the spread of infection to other clients. Placing the client in a private room also helps to protect healthcare workers and visitors from exposure.
A: "I will remove the gown before my gloves after providing client care." This is incorrect because the proper sequence is to remove gloves first, followed by the gown to prevent contamination.
B: "I will tell the client's visitors to wear a mask when they are within 3 feet of the client." This is incorrect because visitors may not need to wear a mask unless they are providing direct care to the client.
C: "I will wear an N95 respirator mask when caring for the client." This is incorrect because an N95 respirator mask is not typically required for caring for a client with MRSA unless performing aerosol-generating procedures.
Overall, placing
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 facilitates venous distention, making it easier to locate and access the vein for IV insertion. This position helps increase blood flow to the area and allows gravity to assist in dilating the veins. Placing the tourniquet below the proposed insertion site (
A) would impede venous return and make it difficult to visualize and access the vein. Applying a cool compress (
B) would cause vasoconstriction and make the veins less visible and accessible. Choosing the most proximal site on the extremity (
D) may not be necessary and could increase the risk of complications such as infiltration or phlebitis.
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:
Rationale: The correct answer is D because delirium typically has an abrupt onset, manifesting as a sudden change in mental status. This is crucial for nurses to recognize promptly for appropriate intervention.
Choice A is incorrect as delirium can disrupt a client's sleep cycle.
Choice B is incorrect as delirium can alter a client's perception of their environment.
Choice C is incorrect as delirium often has a rapid progression, not a slow one.
Therefore, choice D is the most appropriate statement to include in the educational program.