ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: D
Rationale: The correct answer is D: Access the online drug formulary for an unfamiliar medication. This is important to ensure safe medication administration as it allows the nurse to verify the medication's indications, contraindications, dosages, and potential side effects. By accessing the drug formulary, the nurse can gather essential information to make informed decisions and prevent medication errors. Reading the medication label twice (
A) may help ensure accuracy but does not provide comprehensive information. Using one patient identifier (
B) is essential for patient safety but does not specifically address medication administration. Asking the client about similar medications (
C) may be helpful but does not provide objective and detailed information.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: A
Rationale:
Rationale:
Choice A indicates the client has adapted to their new role by expressing appreciation for having others cook, showing acceptance of receiving care.
Choice B suggests confusion and lack of purpose, indicating difficulty adjusting.
Choice C reflects a desire for independence, not necessarily adaptation to the new role.
Choice D implies reluctance to ask for help, which may hinder adaptation. Overall, choice A demonstrates a positive attitude towards the new living situation, making it the correct answer.
Question 3 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Recheck the client's BP in her other arm for comparison. This is the best course of action because taking the BP in the other arm can help determine if the reading is accurate or if there is an issue with the equipment or technique. It is important to rule out any potential errors before taking further action.
Choice A is incorrect because waiting 30 minutes may not address the potential issue with the BP reading.
Choice B is incorrect because the width of the cuff should be appropriate for the arm size, not a specific percentage of the arm circumference.
Choice D is not necessary unless there are specific reasons to suspect positional effects on BP readings.
Question 4 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will perform ankle and knee exercises every hour." This statement indicates an understanding of the teaching because performing ankle and knee exercises can help improve circulation, maintain muscle strength, and prevent blood clots which are common adverse effects of immobility. By engaging in regular exercises, the client can mitigate the negative impacts of being immobile.
Choice A is incorrect because holding breath when rising from a sitting position can increase the risk of orthostatic hypotension.
Choice B is incorrect as changing positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C is incorrect as removing antiembolic stockings while in bed can increase the risk of blood clots.
Question 5 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the family if they wish to assist in washing the client's body. This is important to involve the family in the postmortem care process, which can provide them with closure and a sense of participation in their loved one's care. It also respects cultural and religious beliefs regarding death rituals. Removing dentures (
A) may not be appropriate without family consent. Turning lights to a bright setting (
B) can be harsh and insensitive. Leaving the client's eyes open (
D) can be distressing for the family.