ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product’s compatibility with the client’s blood type. Before administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves verifying the client's blood type and cross-matching it with the blood product to prevent adverse reactions.
Choice B is incorrect because lactated Ringer's should not be used to prime the tubing for blood transfusion, as it can cause hemolysis.
Choice C is incorrect as a small gauge IV catheter may not be suitable for blood transfusion due to the viscosity of packed RBCs.
Choice D is incorrect as confirming the client's identity with the blood bank technician is important but does not address the immediate safety concern of blood type compatibility.
Question 2 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action is to help the client lie on the floor first. This is crucial to prevent injury during a seizure as it provides a safe environment for the client. By lying on the floor, the client is protected from falling out of the chair, hitting their head, or sustaining other injuries. Moving items in the room away from the client, loosening clothing, and turning the client onto their side are important actions, but they should be done after ensuring the client is safely on the floor. These actions can be taken once the immediate risk of injury is minimized by having the client lie down.
Question 3 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 is correct because comparing them when preparing the medication dosage ensures the right medication is being administered. D is important when removing the medication from the drawer to verify it matches the record. E is crucial directly before administering to double-check accuracy.
Choice B is incorrect as reconciling controlled substances doesn't involve verifying specific medications.
Choice C at the end of the shift is not ideal as errors may have already occurred.
Question 4 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B because using a syringe with a catheter for wound irrigation allows for controlled and directed flow of the irrigation solution into the wound, ensuring effective cleansing and minimizing contamination. This method helps prevent trauma to the wound and surrounding tissues.
A: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination.
C: Administering an analgesic medication before irrigation is not a standard practice and does not demonstrate understanding of the procedure.
D: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client.
In summary, choice B is correct as it aligns with best practices for wound irrigation, while the other choices do not demonstrate a proper understanding of the procedure.
Question 5 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I will repeat these movements 3 to 5 times." This is the appropriate statement because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Repeating the movements helps maintain joint flexibility and circulation.
Explanation of why the other choices are incorrect:
A: "I will move your joints to the point of mild pain" - Incorrect because pain should be avoided during passive range-of-motion exercises to prevent injury and discomfort.
C: "I will move your joints quickly" - Incorrect because slow, controlled movements are recommended to prevent injury and ensure effectiveness.
D: "These movements will be performed once per day" - Incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to promote joint mobility and prevent stiffness.