ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: The correct answer is A: Discard the needle in a puncture-proof container. After administering the injection, the nurse must immediately discard the needle in a puncture-proof container to prevent accidental needle sticks and transmission of infections. Placing the needle on the bedside table (
B) is unsafe and can lead to injuries. Recapping the needle before disposal (
C) is discouraged as it increases the risk of needle stick injuries. Removing the needle from the syringe (
D) is unnecessary and exposes the nurse to potential harm.
Question 2 of 5
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Hold the bottle of sterile solution so that the label is facing the palm of the hand. This action is important to maintain the sterility of the solution. By holding the bottle with the label facing the palm, the nurse ensures that the solution does not come into contact with the outside of the bottle, which could introduce contaminants. This practice helps prevent the introduction of microorganisms into the sterile field, reducing the risk of infection for the client.
Incorrect options:
A: Applying sterile gloves before opening the bottle of sterile solution is not necessary for preparing the sterile field.
B: Placing the lid of the sterile solution bottle face down on the sterile drape can lead to contamination.
D: Pouring the sterile solution from a height of 20 cm (8 in) above the sterile bowl may create splashing and increase the risk of contamination.
Question 3 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased sense of balance. As people age, their sense of balance tends to decrease due to changes in vision, inner ear function, muscle strength, and joint flexibility. This can increase the risk of falls and injuries in older adults. The other choices are incorrect because heightened sense of pain (
A) is not a typical finding in older adults, increased nighttime sleeping (
C) may occur but it is not a universal finding, and nighttime urinary incontinence (
D) is common but not a definitive finding in all older adults.
Question 4 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should limit the time that I spend sitting in a chair." This statement shows an understanding of the teaching because prolonged sitting increases the risk of thrombus formation. By limiting sitting time, the client can promote circulation and reduce the risk of blood clots.
Other choices are incorrect:
A: Keeping legs crossed can impede blood flow, increasing the risk of thrombus formation.
B: Massaging legs when they hurt may not prevent thrombus formation and could potentially dislodge a clot.
D: Performing leg exercises once every 4 hours may not be frequent enough to prevent blood clots.
Question 5 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Keep the drainage bag below the level of the bladder. This is important to prevent backflow of urine into the bladder, reducing the risk of urinary tract infections. Placing the drainage bag below the level of the bladder ensures a continuous flow of urine out of the bladder and into the bag. Option B is incorrect as attaching the drainage bag to the side rails can cause tension on the catheter, leading to displacement or obstruction. Option C is incorrect as the drainage bag should be emptied when it is half-full to prevent backflow or infection. Option D is incorrect as taping the catheter to the lower abdomen can cause tension and discomfort.