ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify the count total of the controlled substance after removing the amount needed. This is crucial to ensure accurate documentation and prevent errors in medication administration. By verifying the count total after removing the needed amount, the nurse confirms that the correct dosage has been withdrawn and prevents any discrepancies in the controlled substance inventory.
Option A is incorrect because wasting the unused portion of the controlled substance should be witnessed by another nurse, not just the signature recorded. Option B is incorrect as reporting discrepancies in the count total should be done before administration, not after. Option C is incorrect as wasted portions of controlled substances should be disposed of according to facility policy, not necessarily in a sharps container.
Question 2 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
To calculate the net fluid intake, we need to add all fluid inputs (IV fluids and oral intake) and subtract all fluid outputs (emesis, voided urine, catheterized urine).
IV fluids: 600 mL + 100 mL = 700 mL
Oral intake: 250 mg cefazolin in 100 mL = 100 mL
Total input = 700 mL + 100 mL = 800 mL
Total output = 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL
Net fluid intake =
Total input -
Total output = 800 mL - 260 mL = 540 mL
Therefore, the correct answer is 540 mL, rounded to the nearest whole number, which is 540 mL. Other choices are incorrect as they do not align with the calculations based on the given inputs and outputs.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because the Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Each element is rated on a scale from 1 to 4, except for friction/shear, which is rated from 1 to 3. Understanding this key aspect of the Braden scale demonstrates a comprehensive knowledge of the tool.
Choice A is incorrect because each element is rated on a scale from 1 to 4 or 1 to 3, not 1 to 5.
Choice C is incorrect because the client's age is not a factor in the Braden scale measurement.
Choice D is incorrect because the higher the score on the Braden scale, the lower the pressure injury risk, not higher.
Question 4 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: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.
Question 5 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: "You are worried about having to wear a colostomy bag?" This response acknowledges the client's feelings and opens up a dialogue to address their concerns. It shows empathy and allows the nurse to provide education and support.
Choice A is incorrect because it dismisses the client's worries.
Choice C is incorrect as it doesn't directly address the client's concerns.
Choice D is incorrect as it focuses on the surgical aspect rather than the client's emotional needs.