ATI RN Fundamentals Updated 2023 Exam

Extract:

Question 1 of 5

A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?

A. Unplug the pump.B. Label the pump with a defective equipment sticker.C. Obtain a replacement pump.D. Notify the biomedical department to fix the pump.

Correct Answer: A

Rationale: Unplugging the pump (
A) is the first action to ensure safety and prevent electrical hazards. Labeling (
B), replacing (
C), or notifying biomedical (
D) follow after neutralizing the immediate risk.

Question 2 of 5

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)

A. Limb restraintsB. Oral suction equipmentC. Supplemental oxygen suppliesD. Blood glucose monitorE. Oral airway

Correct Answer: B,C,E

Rationale: Oral suction equipment (
B), supplemental oxygen supplies (
C), and an oral airway (E) are essential for seizure precautions to manage airway clearance, oxygenation, and prevent tongue biting post-seizure. Limb restraints (
A) risk injury and are only used with orders if the client is a danger. A blood glucose monitor (
D) is not directly related to seizure management unless hypoglycemia is a known trigger.

Question 3 of 5

A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?

A. Inserting a glycerin suppository for a client who is constipatedB. Showing a client how to use an incentive spirometer prior to surgeryC. Irrigating a client's infected surgical woundD. Assisting with ambulation for a client who has a pulmonary infection

Correct Answer: D

Rationale: Assisting with ambulation (
D) is a basic task within the assistive personnel’s scope, requiring no advanced skills. Inserting a suppository (
A) involves assessment and sterile technique, a nursing task. Teaching spirometer use (
B) requires education and evaluation, a nursing responsibility. Irrigating a wound (
C) needs sterile technique and assessment, unsuitable for delegation.

Question 4 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?

A. Keep the drainage bag below the level of the bladder.B. Attach the drainage bag to the side rails of the bed.C. Empty the drainage bag when it is three-quarters full.D. Tape the catheter to the lower abdomen.

Correct Answer: A

Rationale: Keeping the drainage bag below the bladder (
A) prevents urine backflow and reduces infection risk, making it the correct action. Attaching the bag to side rails (
B) risks tension and trauma. Emptying when three-quarters full (
C) risks excessive weight pulling on the catheter; emptying every 8 hr or when half full is standard. Taping to the lower abdomen (
D) risks kinking; taping to the upper thigh is correct for females.

Question 5 of 5

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

A. The client's belief that his needs will be met through educationB. The nurse explaining the need for education to the clientC. The client seeking family approval by agreeing to a teaching planD. The nurse's empathy about the client having to self-inject

Correct Answer: A

Rationale: The client’s belief that education meets his needs (
A) fosters intrinsic motivation, enhancing learning engagement. Explaining the need (
B) informs but doesn’t drive motivation. Seeking family approval (
C) is external motivation, less effective. Empathy (
D) supports emotionally but doesn’t directly increase learning motivation.

ATI RN Fundamentals Updated 2023 Exam | Nurselytic

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