ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to take deep, rhythmic breaths. Deep breathing can help the client relax, distract from pain, and improve oxygenation, reducing perception of pain. This method is non-invasive and can be easily implemented by the client.
Choice A may provide temporary relief but is not recommended for prolonged periods as it can lead to skin damage.
Choice C may exacerbate the pain as ice is not indicated for mild back pain.
Choice D may help create a calming environment but does not directly address the pain.
Question 2 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and promote independence. Raised toilet seats reduce the risk of strain and provide stability when sitting and standing.
Choice B is incorrect because securing loose wires under carpeting can lead to tripping hazards.
Choice C is incorrect as using extension cords can increase the risk of electrical fires.
Choice D is incorrect as covering slippery stairs with an area rug can cause further slipping hazards.
Question 3 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: A
Rationale: The correct answer is A because antihypertensive medications can cause side effects like dizziness or lightheadedness, increasing the risk of falls. Secure electrical wires (
B) reduce tripping hazards. Rubber-sole shoes (
C) provide better traction and reduce slipping. Visual acuity of 20/40 (
D) is suboptimal but not directly related to home fall risk.
Question 4 of 5
A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using restraints, which of the following actions must the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C - Attempt less restrictive alternatives.
Rationale: Before resorting to restraints, the nurse must try less restrictive measures to ensure the client's safety. This includes using soft restraints, diversion techniques, or involving family members. This approach aligns with the principles of patient autonomy and least restrictive interventions. It also helps prevent potential harm or discomfort that may be caused by the use of restraints.
Summary of other choices:
A: Obtaining a prescription is important, but exploring alternatives should come first.
B: While communication is key, trying other options for safety takes precedence.
D: Documentation is necessary but should follow the exploration of less restrictive methods.
Overall, attempting less restrictive alternatives is crucial for ethical and safe care.
Question 5 of 5
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
Correct Answer: A, B,E
Rationale: The correct choices are A, B, and E. Comparing the medication administration record against the medication container while removing medication (
A) ensures accuracy in medication selection. Before selecting the medication container (
B), helps verify the right medication. At the client's bedside before administering the medication (E) ensures the right patient receives the correct medication.
Choice C is incorrect because documenting occurs after administering the medication.
Choice D is incorrect as educating the client does not involve verifying the medication.