ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 107
Rationale:
To calculate the infusion rate, divide the total volume to be infused (750mL) by the total time in hours (7 hours). 750mL / 7 hours = 107 mL/hr. This is the correct answer as it determines the rate at which the solution should be administered to ensure the correct dosage is delivered over the specified time. Other choices are incorrect as they do not result from the correct calculation method, which is essential in determining the appropriate infusion rate for the patient.
Question 2 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 3 of 5
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale:
Correct Answer: D - Have the client take sips of water to promote insertion of the NG tube into the esophagus.
Rationale: Having the client take sips of water helps facilitate the passage of the NG tube through the esophagus by promoting swallowing reflexes and lubricating the tube. This method is commonly used to aid in the insertion process and reduce discomfort for the client.
Summary of other choices:
A: Positioning the client at the head of the bed elevated to 30° is important for NG tube insertion but not the direct action needed during insertion.
B: Removing the NG tube if the client gags or chokes is incorrect; these are common reactions during insertion and do not necessarily indicate a problem.
C: Applying suction to the NG tube prior to insertion is unnecessary and can cause discomfort or injury to the client.
Question 4 of 5
A nurse is caring for a client who has a terminal illness, and the client's partner indicates effective coping. The nurse should recognize that which of the following statements is an indication of effective coping?
Correct Answer: B
Rationale: The correct answer is B: "I am relying on support from our family during this time." This statement indicates effective coping as it shows the client is utilizing the support system available, which is a healthy way to manage stress and emotions during a difficult time. It demonstrates the client's willingness to seek help and share the burden with loved ones.
Explanation for why other choices are incorrect:
A: "I am not worried because I will have hope that he will be okay." This statement shows denial rather than effective coping.
C: "We can plan our family reunion once he recovers and comes home." This statement indicates avoidance of the reality of the situation.
D: "We don't see any reason to start discussing funeral arrangements right now." This statement shows avoidance of discussing important end-of-life matters.
Question 5 of 5
A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?
Correct Answer: B
Rationale: The correct answer is B: Situation background assessment and recommendation (SBAR). SBAR is a standardized communication tool that ensures clear and concise sharing of critical information during handoffs. It helps in providing continuity of care by outlining the patient's situation, background information, assessment findings, and recommendations for the next shift. This structured approach minimizes errors, enhances patient safety, and promotes effective communication among healthcare team members. Critical pathways (
A) are care plans that outline the expected progression of a patient's care but do not focus on communication during handoffs. Transfer reports (
C) are used when patients are being transferred between units or facilities. Medication administration records (
D) are used for documenting medication administration, not for communication during shift handoffs.