ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action helps ensure that the NG tube is clear and free from any residual formula or medication, preventing potential clogs or interactions. By flushing the tube, the nurse can confirm proper tube placement and avoid any complications.
Choice A is incorrect because combining medications with the formula can lead to drug interactions and compromise the efficacy of the medications.
Choice B is incorrect as diluting medications with warm water may alter their stability and effectiveness.
Choice D is incorrect as mixing medications together in a single syringe can also result in drug interactions and inaccurate dosing.
Question 2 of 5
A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Verify the dose of insulin with another nurse once it is prepared. This is the first action the nurse should perform to ensure patient safety through a double-check process. It helps prevent medication errors by confirming the accuracy of the insulin dose before administration. Administering the insulin dose using a tuberculin syringe (
A) may be appropriate, but verifying the dose first is crucial. Using a filter needle when withdrawing medication from the multidose vial (
B) is not necessary for administering insulin. Mixing long-acting and rapid-acting insulin in one syringe (
D) is contraindicated as it may alter the pharmacokinetics of the insulin types.
Question 3 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: The correct answer is B. When a client has dysphagia, drinking thickened liquids with a straw can increase the risk of aspiration because the liquid may move too quickly through the straw. This can lead to choking or aspiration pneumonia.
Choices A, C, and D are all appropriate actions for a client with dysphagia. Adjusting the bed to 90° helps with swallowing, tucking the chin can prevent aspiration, and taking breaks while eating can reduce the risk of choking.
Question 4 of 5
A nurse is reviewing the laboratory results of a female client who has liver dysfunction and is receiving a continuous tube feeding. Which of the following findings should the nurse identify as a protein deficiency?
Correct Answer: A
Rationale: The correct answer is A: Albumin 3.1 g/dL. Albumin is the main protein in the blood and is produced by the liver. In liver dysfunction, the synthesis of albumin is decreased, leading to low levels in the blood, indicating protein deficiency. Transferrin (
B) is a protein involved in iron transport, not a direct indicator of protein deficiency. Uric acid (
C) and total iron-binding capacity (
D) are not specific markers for protein deficiency.
Question 5 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.