ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?
Correct Answer: B
Rationale: The correct answer is B: Bear down. Bearing down helps relax the pelvic floor muscles and opens the urethra, making it easier to pass the catheter. This action mimics the process of urination and can help the catheter glide smoothly through the urinary meatus.
Choice A is incorrect as raising the head off the pillow does not directly aid in the ease of catheter insertion.
Choice C, holding the breath, can increase intra-abdominal pressure and make catheter insertion more difficult.
Choice D, performing Kegel exercises, involves contracting rather than relaxing the pelvic floor muscles, which can hinder catheter insertion.
Question 2 of 5
A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by
Correct Answer: C
Rationale: The correct answer is C: Modulating the transmission of the pain impulse. TENS works by delivering electrical impulses through electrodes placed on the skin, which then stimulate the nerves in the area. This stimulation helps to interfere with and modulate the transmission of pain signals to the brain, reducing the perception of pain. This mechanism differs from distraction (
Choice
A), relaxation response (
Choice
B), and increased circulation (
Choice
D), which are not direct effects of TENS on pain management.
Therefore, the correct answer is C because it directly addresses how TENS specifically impacts pain perception.
Question 3 of 5
A nurse should assign which of the following tasks to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A because giving oral care to a client who cannot take oral fluids is within the scope of practice for assistive personnel. This task does not require specialized nursing knowledge or assessment skills. Assistive personnel can safely provide oral care under the supervision of a nurse. Checking intravenous insertion sites (
B) requires nursing assessment skills. Assessing a client's ability to ambulate (
C) involves clinical judgment and risk assessment. Demonstrating glucometer use to a client with diabetes (
D) requires education and understanding of diabetes management, which is beyond the scope of assistive personnel.
Question 4 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)
Correct Answer: 150
Rationale: The correct answer is 150 mL/hr.
To calculate the IV pump rate, divide the total volume to be infused (1200 mL) by the total time in hours (8 hr). 1200 mL / 8 hr = 150 mL/hr. This rate ensures the dextrose 5% in 0.45% sodium chloride solution is infused at the prescribed rate over the specified time.
Choice A: Incorrect. Not the correct calculation based on the given information.
Choice B: Incorrect. Not the correct calculation based on the given information.
Choice C: Incorrect. Not the correct calculation based on the given information.
Choice D: Incorrect. Not the correct calculation based on the given information.
Choice E: Incorrect. Not the correct calculation based on the given information.
Choice F: Incorrect. Not the correct calculation based on the given information.
Choice G: Incorrect. Not the correct calculation based on the given information.
Question 5 of 5
A guard at a prison brings an injured inmate to the facility clinic. The inmate is bleeding and the guard asks the nurse about the inmate's HIV infection status. Which of the following actions by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Complete an incident report. The nurse must prioritize the immediate medical needs of the injured inmate over disclosing HIV status. Completing an incident report ensures proper documentation of the situation for legal and administrative purposes, maintaining confidentiality.
Choice A is incorrect because releasing medical information without proper authorization violates patient privacy laws.
Choice B is inappropriate as it delays urgent medical care and does not address the immediate concern.
Choice D is not acceptable as it puts the inmate's health at risk and invades their privacy.