ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place the extremity in a dependent position. Placing the extremity in a dependent position helps to engorge the veins, making them more visible and easier to access during IV catheter insertion. This position also promotes venous return and reduces the risk of infiltration.
Choice A is incorrect because the tourniquet should be placed above the proposed insertion site to occlude the veins and make them more prominent.
Choice B is incorrect because applying a cool compress would cause vasoconstriction, making it harder to locate and access the veins.
Choice D is incorrect because the most distal site should be chosen for IV catheter insertion to preserve more proximal sites for future use.
Question 2 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.
Question 3 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. Removing one restraint at a time allows for gradual release of restraint pressure, preventing sudden movement that could result in injury. Tying restraints to the side rail (
A) increases risk of injury. Securing restraints with a square knot (
C) may be difficult to untie quickly in an emergency. Removing restraints every 3 hours (
D) does not address the immediate need for safety.
Question 4 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Dilute each crushed medication with sterile water. This is the correct action because medications administered via NG tube should be in liquid form to prevent clogging and ensure proper absorption. Diluting each crushed medication with sterile water helps maintain the medication's consistency and facilitates its passage through the tube. Mixing medications together in a single syringe (choice
A) may cause interactions or alter the effectiveness of the medications. Flushing the NG tube with sterile water (choice
C) is important but not directly related to administering medications. Combining medications with the formula in the feeding bag (choice
D) can affect the feeding formula's composition and may lead to inaccurate dosing.
Question 5 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: "You will receive written information about advance directives prior to signing." This instruction is important because it ensures that the client has the necessary information to make an informed decision about advance directives. Providing written information allows the client to fully understand the purpose and implications of advance directives before signing them.
Choice A is incorrect because the provider does not need to sign the advance directives, it is the client's decision.
Choice B is incorrect as the presence of a partner is not mandatory for signing advance directives.
Choice D is incorrect as signing advance directives is a personal choice and not a requirement before surgery.