ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

A. UB. I & OC. IUD. q.dE. PRN

Correct Answer: A,C,D

Rationale: U' (
A) risks misreading as 'units,' 'IU' (
C) as 'IV,' and 'q.d' (
D) as 'qid'—all on the Do Not Use list for safety. 'I & O' (
B) and 'PRN' (E) are allowed.

Question 2 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Use povidone-iodine to clean around the stoma.'B. Cut the opening of the pouch 1/8 of an inch larger than the stoma.'C. Empty the ostomy pouch when it becomes one-third full of contents.'D. Place a piece of gauze over the stoma while changing the pouch.'E. Expect the stoma to turn a purple-blue color as it heals.'

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

Question 3 of 5

During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

A. Obtain the client's type and cross-match.B. Inform the provider of the delay in obtaining the type and cross-match.C. Document the incident in the client's medical record.D. Prepare an incident report for risk management.

Correct Answer: A

Rationale: Obtaining the type and cross-match (
A) first ensures blood availability for surgery, prioritizing patient safety. Informing (
B), documenting (
C), and reporting (
D) follow.

Question 4 of 5

A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?

A. Distended neck veinsB. Postural hypotensionC. Dependent edemaD. Bradycardia

Correct Answer: B

Rationale: Postural hypotension (
B) reflects low blood volume in fluid deficit. Distended veins (
A) and edema (
C) suggest fluid excess, and tachycardia (not bradycardia,
D) compensates.

Question 5 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?

A. The client has electrical wires secured to baseboards.B. The client wears rubber-sole shoes.C. The client's visual acuity is 20/40.D. The client takes an antihypertensive medication.

Correct Answer: D

Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN