ATI RN Fundamentals 2023 I | Nurselytic

Questions 60

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ATI RN Fundamentals 2023 I 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: A

Rationale: The correct answer is A: Read the medication label twice prior to administration. This is crucial to ensure that the right medication, dosage, and route are being administered to the correct patient. By double-checking the medication label, the nurse can verify that there are no errors or discrepancies that could lead to medication errors. Using one patient identifier (
Choice
B) is important but not specific to medication safety. Accessing the online drug formulary (
Choice
C) is helpful for additional information but not essential for immediate safe administration. Asking the client about previous medication history (
Choice
D) is relevant but does not guarantee safe administration as it relies on the client's memory and may not always be accurate.

Question 2 of 5

A nurse is reviewing complementary therapies approved by the provider with a client who has hypertension. Which of the following supplements should the nurse discuss with the client?

Correct Answer: A

Rationale: The correct answer is A: Garlic. Garlic has been shown to potentially help lower blood pressure in individuals with hypertension due to its active compound allicin. Allicin has been suggested to relax blood vessels, leading to improved blood flow and reduced blood pressure. Peppermint oil (
B) is not typically used for hypertension. Licorice root (
C) can raise blood pressure and should be avoided. Chamomile (
D) is not known for its effect on blood pressure.

Question 3 of 5

A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

Correct Answer: A

Rationale: The correct answer is A: Use trochanter rolls beside the client’s legs. Trochanter rolls help prevent external rotation of the hips, maintaining proper alignment and preventing pressure ulcers. Placing the client’s arms at their sides (
B) may restrict circulation. Crossing the client’s ankles (
C) can cause pressure ulcers. Logrolling (
D) is not necessary for routine turning. It is essential to maintain proper body alignment and prevent complications in immobile clients.

Question 4 of 5

A nurse identifies a small fire in a client’s room. After moving the client to safety, which of the following is the next action the nurse should take?

Correct Answer: C

Rationale: The correct answer is C: Activate the facility’s fire alarm. This is the next action the nurse should take because it alerts others to the fire and initiates the building's evacuation protocol. This ensures the safety of all individuals in the facility.
Placing wet towels along the base of the door (
A) may help prevent smoke from entering the room, but it is not the priority when there is an active fire. Turning off electrical equipment (
B) is important to prevent further hazards, but it is not the immediate action needed in this situation. Directing a fire extinguisher at the fire (
D) should only be done if the nurse is trained in using one and if it is safe to do so; however, activating the fire alarm takes precedence.

Question 5 of 5

A nurse is teaching a client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of possible anaphylaxis?

Correct Answer: D

Rationale: The correct answer is D: A sharp decrease in blood pressure. This indicates an understanding of possible anaphylaxis because anaphylaxis is a severe allergic reaction that can lead to a sudden drop in blood pressure, which can be life-threatening. This symptom is crucial to recognize as it requires immediate medical attention, including the administration of epinephrine.
Choice A, B, and C do not directly relate to anaphylaxis and are more commonly associated with other conditions or reactions. By understanding the potential signs of anaphylaxis, the client can take appropriate actions to seek help promptly.

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