ATI RN
ATI RN Fundamentals 2023 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?
Correct Answer: B,C,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are when removing the medication from the drawer, directly before administering the medication, and when preparing the medication dosage. Comparing the medication administration record with the label when removing the medication ensures that the correct medication is being taken out. Checking again directly before administration ensures the right medication is given to the right patient. Lastly, verifying the medication dosage during preparation ensures accurate dosing. The other options are incorrect because comparing at the end of the shift may lead to errors going unnoticed, reconciling counts of controlled substances is unrelated to checking medication accuracy, and comparing when reconciling counts may not catch errors in administration.
Question 2 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: C
Rationale: The correct answer is C: Client care provider. The nurse manager is functioning in the role of overseeing and supervising the newly licensed nurse as they perform a straight catheterization on a client to ensure proper technique and client safety. As a client care provider, the nurse manager is responsible for ensuring that the client receives safe and effective care.
Explanation for the other choices:
A: Client educator - This role involves providing information and teaching clients about their health conditions or treatments. The nurse manager in this scenario is not directly educating the client.
B: Client advocate - This role involves speaking up for the client's best interests. While important, it is not the primary role being demonstrated in this scenario.
D: Case manager - This role involves coordinating care and services for clients across different healthcare settings. The nurse manager in this scenario is focused on direct observation and supervision of a procedure, rather than overall care coordination.
Extract:
Medical History
2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
• Hct 37% (37% to 47%)
• Hgb 12 g/dL (12 to 16 g/dL)
• WBC count 12,000/mm3 (5,000 to 10,000/mm3)
• Prothrombin time 21 seconds (11 to 12.5 seconds)
Question 3 of 5
A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: The correct answer is B, C, D, and E. Hct level, Prothrombin time, WBC count, and Preoperative medication are crucial findings that require immediate follow-up. Hct level assesses blood volume, Prothrombin time evaluates blood clotting ability, WBC count indicates infection risk, and Preoperative medication ensures safety during surgery. Latex allergy (choice
A) is important but not immediate. History of weekly exercise (choice F) is not urgent.
Extract:
Question 4 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of safety considerations for an older adult with heart failure taking hydrochlorothiazide. Leaving a light on in the bathroom at night can prevent falls, as older adults are at higher risk due to medication side effects like dizziness from hydrochlorothiazide. Option A is incorrect as regular weight monitoring is crucial for heart failure but should be done more frequently than once weekly. Option B is incorrect as hydrochlorothiazide is typically taken in the morning to avoid frequent urination at night. Option D is incorrect as taking a hot bath before bed can cause dehydration and affect blood pressure, which is not recommended for someone with heart failure.
Question 5 of 5
A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "I can give you the contact information for someone to assist you with recovering your password." This is the best option because it promotes confidentiality and adheres to ethical standards. It avoids sharing personal login information, which can breach security protocols and potentially result in disciplinary actions. By providing contact information for password recovery assistance, the nurse is directing the colleague towards the appropriate channels for resolving the issue. This approach upholds professionalism and accountability.
Other
Choices:
A: Seeing the supervisor for a temporary password may not be the most efficient or secure method for resolving a forgotten password issue.
B: Providing client information to the charge nurse for documentation is inappropriate and could compromise patient privacy.
D: Allowing another nurse to use one's own password is a violation of security policies and sets a risky precedent for future incidents.