ATI RN
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ATI RN Fundamentals Exam 6 Questions
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Question
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1 of 5
A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?
Correct Answer: C
Rationale: Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents. The sterile field should be above waist level to avoid contamination. Placing dry sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items. Sterile gloves should be donned before preparing the sterile field to avoid contamination.
Question 2 of 5
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
Correct Answer: B
Rationale: Wearing cotton socks is appropriate as they allow for better air circulation. Cutting nails rounded at the corners can lead to ingrown toenails which is not recommended for individuals with diabetes. Using a mirror for daily foot inspection is a good practice to identify any issues early. Buying shoes late in the afternoon accounts for any swelling that may occur during the day which is a suitable practice for individuals with diabetes.
Question 3 of 5
A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain nausea and vomiting for the past 2 days. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Palpating the abdomen may exacerbate pain or cause discomfort and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus which can contribute to the client's symptoms. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.
Question 4 of 5
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
Correct Answer: B
Rationale: Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order but it lacks clarity. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Question 5 of 5
A home health nurse is teaching a client who has diabetes mellitus about proper home disposal of syringes. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal. Using a resealable bag may not provide sufficient protection and it may pose risks to individuals handling the trash. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.