ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A. The nurse should use a filter needle to withdraw the medication.
Rationale: Using a filter needle helps prevent glass particles from entering the syringe, ensuring patient safety. Glass ampules can sometimes have small glass particles that could be harmful if injected. Using a filter needle filters out these particles, reducing the risk of contamination. It is essential for the nurse to prioritize patient safety by taking this precautionary measure.
Summary of other choices:
B: Breaking the neck of the ampule toward their body increases the risk of injury from glass shards.
C: Using the same needle for drawing up and injecting can introduce glass particles into the patient.
D: Disposing of the ampule in the trash can is an appropriate step but does not address the immediate safety concern of using a filter needle.
Question 2 of 5
A nurse is reinforcing teaching with a client who has insomnia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Limiting daily naps to 45 minutes can help improve nighttime sleep by reducing the drive to sleep during the day, promoting better sleep efficiency. This indicates an understanding of good sleep hygiene practices.
Summary of Incorrect
Choices:
A: Turning on the ceiling fan might help with white noise, but it does not address the underlying issue of insomnia.
C: Green tea contains caffeine, which can actually interfere with sleep and worsen insomnia.
D: Getting out of bed if unable to fall asleep within an hour can reinforce negative sleep associations and disrupt sleep patterns.
Question 3 of 5
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
Correct Answer: D
Rationale: The correct answer is D: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Individuals who have demonstrated violent behavior in the past are more likely to engage in violent behavior again.
Choice A, being in prison, does not necessarily indicate future violence.
Choice B, experiencing delusions, may increase the risk but is not as strong a predictor as past violent behavior.
Choice C, male gender, is a generalization and does not account for individual differences.
Question 4 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should remove constrictive clothing prior to measuring my blood pressure." This statement demonstrates an understanding of the importance of ensuring accurate blood pressure readings. Tight clothing can affect blood flow and give false readings. Removing constrictive clothing allows for accurate measurements.
Choice A is incorrect because waiting after drinking coffee does not directly impact blood pressure measurement accuracy.
Choice B is incorrect because measuring blood pressure with the arm elevated above the heart can also affect the accuracy of the reading.
Choice D is incorrect because measuring blood pressure immediately after eating can also give inaccurate results due to the digestive process affecting blood pressure.
Question 5 of 5
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. A constant P-R interval of 0.35 seconds indicates a prolonged conduction time between the atria and ventricles. In first-degree AV block, there is a delay in the conduction through the AV node, resulting in a prolonged P-R interval. This dysrhythmia is characterized by a consistent delay without dropped beats.
Choice B (Complete heart block) would present with a variable P-R interval and complete dissociation between atrial and ventricular activity.
Choice C (Premature atrial complexes) are early electrical impulses originating in the atria, not involving the AV node.
Choice D (Atrial fibrillation) would show irregular and chaotic atrial activity without a consistent P-R interval.