ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A: Insert the catheter at a 45-degree angle.
Rationale: Inserting the catheter at a 45-degree angle is appropriate for older adults as their skin may be more fragile, reducing the risk of tissue damage. This angle also helps in successful IV insertion by facilitating cannulation of the vein.
Summary of other choices:
B: Placing the client's arm in a dependent position does not directly impact the IV catheter insertion process.
C: Shaving excess hair is unnecessary and may increase the risk of skin irritation and infection.
D: Initiating IV therapy in the veins of the hand is not specific to the insertion technique and does not address the angle of insertion.
Question 2 of 5
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
Correct Answer: D
Rationale: The correct answer is D: The client holds the cane on the stronger side of her body. This is correct because when using a cane, it should be held on the stronger side to provide support and stability. Placing the cane on the stronger side helps to offload weight from the weaker side, reducing the risk of falls.
Choice A is incorrect because the top of the cane should ideally be at the level of the greater trochanter, not necessarily parallel to the wrist.
Choice B is vague and does not indicate correct use.
Choice C is incorrect as there is no specific measurement for how far the cane should be moved forward.
Choice E is incorrect as the client should move the weaker limb forward with the cane for support.
Question 3 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: The correct answer is C: A mole with an asymmetrical appearance. The nurse should identify this as a potential indication of skin malignancy because asymmetry is a key characteristic of melanoma, a type of skin cancer. In melanoma, one half of the mole does not match the other half. Other choices are incorrect because: A: A lesion with uniform pigmentation is less likely to be malignant as skin cancer lesions often have irregular borders and uneven colors. B: Petechiae are tiny red or purple spots on the skin caused by bleeding under the skin and are not typically associated with skin cancer. D: The presence of a papule alone is not specific to skin cancer and could be indicative of various skin conditions.
Question 4 of 5
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client?
Correct Answer: A
Rationale: The correct answer is A: Use a bed exit alarm system. This intervention is the most appropriate as it helps alert the nurse when the client attempts to leave the bed, reducing the risk of falls and injuries. Bed exit alarms provide a non-restrictive way to monitor and ensure the safety of the client with dementia. Raising all four side rails (
B) can lead to feelings of confinement and may increase agitation. Applying a soft wrist restraint (
C) is a restrictive measure and should only be used as a last resort due to ethical and legal considerations. Dimming the lights (
D) may not directly address the risk of injury for a client with dementia.
Question 5 of 5
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: B, E, C, D, A
Rationale: Correct Order: B, E, C, D, A
Rationale:
1. Obtain the pronouncement of death from the provider (
B) is the first step to officially declare the client deceased.
2. Ask the client's family members if they would like to view the body (E) to involve them in the process and offer closure.
3. Remove tubes and indwelling lines (
C) to ensure the body is prepared for further care.
4. Wash the client's body (
D) as part of maintaining dignity and respect for the deceased.
5. Place a name tag on the body (
A) for identification purposes.
Summary:
- F and G are missing steps and do not contribute to the immediate post-death care.
- Choosing A first may not be appropriate until the body is ready for identification.
- Other steps like notifying authorities or documenting events are not included in the given choices.