ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take 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. This is crucial to prevent a potentially life-threatening transfusion reaction. The nurse must verify that the blood product matches the client's blood type to avoid hemolysis. Checking for compatibility ensures that the client's immune system will not attack the transfused blood cells.
Choices B, C, and D are incorrect:
B: Checking for a small gauge IV catheter is important for administering blood products, but it is not the priority before the start of the infusion.
C: Confirming the client's identity with the blood bank technician is essential but does not directly relate to the safety of the transfusion.
D: Priming the IV tubing with lactated Ringer's is not necessary as the packed RBCs should be administered with a separate tubing set to prevent any potential interactions.
Question 2 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: D
Rationale: The correct answer is D: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because it shows the client's awareness of the need to prevent falls, a common concern for older adults with heart failure who may experience dizziness or weakness due to their condition or medication. Leaving a light on in the bathroom at night can help the client navigate safely and reduce the risk of falls.
Choice A is incorrect as taking a hot bath before bed can increase the risk of dehydration, which is not recommended for a client with heart failure.
Choice B is incorrect as weighing weekly may not provide timely feedback on fluid retention, a common issue in heart failure.
Choice C is incorrect as taking hydrochlorothiazide in the evening may lead to nighttime urination and disturb sleep.
Extract:
Exibit 1
Medical History
0800:
Client has a history of hyperlipidemia, rheumatoid arthritis, and hypertension. Client has a BMI of 32.
Client has a family history of colon cancer.
Exibit 2
Cholestrol 250mg/Dl (Less than 200mg/Dl) Fasting glucose 100mg/dL (70 to 110mg/Dl)
Question 3 of 5
A nurse is caring for a client. Which of the following findings from the client’s history places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,C,D,F
Rationale: A: History of hypertension - Hypertension is a major risk factor for heart disease as it increases the workload on the heart and can lead to damage over time.
C: Cholesterol level - High cholesterol levels, especially LDL cholesterol, can contribute to the development of atherosclerosis and increase the risk of heart disease.
D: History of hyperlipidemia - Hyperlipidemia is characterized by high levels of fats in the blood, such as cholesterol and triglycerides, which can lead to the formation of plaques in the arteries, increasing the risk of heart disease.
F: Family history - Having a family history of heart disease indicates a genetic predisposition and can increase the likelihood of developing heart disease due to shared genetic and lifestyle factors.
Incorrect choices: B - Rheumatoid arthritis is an autoimmune disease that primarily affects the joints and does not directly increase the risk of heart disease. E - Fasting glucose level is more related to diabetes risk than heart disease risk.
Extract:
Question 4 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: D
Rationale: The correct answer is D: Assault. Assault is the intentional threat of harmful or offensive contact with a person, creating fear of imminent harm. In this scenario, the nurse's statement of administering medication by injection if the client doesn't comply constitutes a threat of harm, hence meeting the criteria for assault. Other choices are incorrect because: A: Invasion of privacy involves a violation of a person's right to privacy, not relevant here. B: Battery is the intentional harmful or offensive contact without consent, not applicable in this situation. C: Defamation involves false statements that harm a person's reputation, not happening here.
Question 5 of 5
A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Activate the facility's fire alarm. This is the next action the nurse should take after ensuring the client's safety. Activating the fire alarm alerts other staff members and emergency services, allowing for a quicker and more coordinated response to the fire. Placing wet towels along the base of the door (choice
A) may help prevent smoke from entering the room but does not address the larger issue of alerting others to the fire. Directing a fire extinguisher at the fire (choice
C) should only be done if the nurse is trained to do so and it is safe. Turning off any electrical equipment (choice
D) may be necessary to prevent further hazards but does not take precedence over alerting others to the fire.