ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E.
A: When removing the medication from the drawer, the nurse ensures the correct medication is being administered.
D: When preparing the dosage, the nurse verifies the medication details before administering it to the patient.
E: Directly before administering the medication, the nurse confirms the medication matches the prescription.
B and C are incorrect because comparing the records and labels should occur before medication is given.
Question 2 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.
Question 3 of 5
A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Ask the provider for a prescription to decrease the continuous rate.
Rationale: A pain rating of 2 indicates mild pain, so decreasing the continuous rate of opioids can help prevent overmedication and potential adverse effects. Asking the provider for a prescription change ensures a safe adjustment to the pain management plan.
Summary of Incorrect
Choices:
A: Informing the provider that the PCA is not providing adequate pain relief may lead to unnecessary intervention since a pain rating of 2 is considered mild.
C: Instructing the client to push the button more frequently could result in overmedication and potential adverse effects due to unnecessary bolus doses.
D: Instructing the client's caregiver to push the PCA button when the client is resting is not appropriate as the client should be the one managing their pain relief.
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 assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
Correct Answer: C
Rationale: The correct answer is C: A middle adult assumes their parent's responsibilities. This indicates a change in the family system as it suggests a shift in roles and dynamics within the family. The middle adult taking on their parent's responsibilities signifies a significant change in the family structure and functioning.
A: A young adult developing a close, personal relationship is a normal developmental milestone and does not necessarily indicate a change in the family system.
B: A young adult focusing on their career is also a typical developmental stage and does not directly relate to a change in the family system.
D: A middle adult experiencing physical changes is a part of the aging process and may not necessarily signify a change in the family system.
Therefore, choice C is the most relevant in the context of assessing the impact of stressors on a family system.