ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. When the nurse compares the medication administration record against the medication container at the client's bedside before administering the medication, it ensures accuracy and safety. Checking before selecting the container helps prevent errors. Verifying while removing the medication ensures the right medication is given. Comparing during documentation may be too late. Option A is incorrect as education is separate. Options E and F are incorrect as they are not the appropriate times for comparison.
Question 2 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: B
Rationale: The correct answer is B: The client takes an antihypertensive medication. Antihypertensive medications can cause dizziness or orthostatic hypotension, increasing the risk of falls. Other choices are incorrect because: A: Secured wires are not a direct fall risk. C: Rubber-sole shoes may actually decrease fall risk by providing better traction. D: Visual acuity of 20/40 is suboptimal but not a direct fall risk.
Question 3 of 5
A nurse is assessing a client who has chronic pain. Which of the following findings is associated with chronic pain?
Correct Answer: D
Rationale: The correct answer is D: Depression. Chronic pain often leads to emotional distress, including depression. This is because living with persistent pain can affect a person's mood, behavior, and overall quality of life. Depression is a common co-morbidity in individuals with chronic pain.
Constricted pupils (
A) are not typically associated with chronic pain. Bradycardia (
B) refers to a slow heart rate and is not a common finding in chronic pain. Diaphoresis (
C), which is excessive sweating, is not a consistent sign of chronic pain.
Therefore, these choices are incorrect in the context of chronic pain assessment.
Question 4 of 5
A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Wait 5 minutes between the administration of each medication. This is important to prevent dilution or washout of the first medication by the second one. Administering multiple drops simultaneously can lead to reduced effectiveness of both medications. Waiting between administrations allows each medication to be absorbed properly.
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Choice B is incorrect because asking the client to close their eyes tightly after instillation may not be necessary for all types of ophthalmic drops.
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Choice C is incorrect as the distance of holding the dropper is not crucial for the administration of the drops.
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Choice D is incorrect as massaging the client's eyelids after instillation is not a standard practice and may not be safe for all types of ophthalmic medications.
Question 5 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep the collection bag below bladder level. This is crucial to prevent backflow of urine into the bladder, reducing the risk of infection. Keeping the collection bag below bladder level ensures a continuous flow of urine out of the bladder and into the bag, minimizing the chances of bacterial migration.
Other choices are incorrect:
A: Using a size 20 French catheter is not directly related to decreasing infection risk.
B: Allowing the drainage bag to fill completely before emptying can increase the risk of infection due to stagnant urine.
C: Disconnecting the drainage tube for catheter irrigation can introduce bacteria into the system.
Overall, maintaining proper positioning of the collection bag is key in preventing catheter-associated urinary tract infections.