ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an oral opioid analgesic to a client. Which of the following actions should the nurse take when handling an unused portion of the medication after administration?
Correct Answer: D
Rationale: Returning unused opioids to locked narcotics storage ensures security and prevents diversion. Sending to the pharmacy unverifiable disposal or keeping in a drawer lacks accountability and safety.
Question 2 of 5
A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Exhaling slowly through pursed lips creates backpressure keeping airways open and improving oxygen exchange in COPD. Lying down restricts lung expansion inhaling through pursed lips is incorrect and puffing cheeks is ineffective.
Question 3 of 5
A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An air-assisted transfer device reduces friction and strain for heavy clients ensuring safety. Slider boards are less effective for 136 kg bed height adjustment is insufficient and head positioning is irrelevant to the transfer.
Question 4 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 5 of 5
A nurse is assessing an older adult client. Which of the following should the nurse identify as an expected physiological change associated with aging?
Correct Answer: B
Rationale: Decreased peripheral circulation is expected in aging due to less elastic narrowed blood vessels causing cold extremities and delayed healing. Sensitivity to touch and appetite decrease while airway resistance increases.