ATI RN
ATI RN Fundamentals 2019 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: B
Rationale: Placing the tourniquet below the insertion site distends veins aiding catheter insertion. Dependent positioning may not help cool compresses are not standard and distal sites are preferred to preserve proximal veins.
Question 2 of 5
A nurse is reviewing the medical record for a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: A potassium level of 5.8 mEq/L indicates hyperkalemia which can cause cardiac complications and requires urgent reporting. Magnesium calcium and sodium levels listed are within normal ranges.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing tracheostomy ties with one finger's space ensures stability without compromising circulation or causing skin breakdown. Cotton tip applicators risk dislodging debris warm soapy water may not be sterile and saline cleansing is secondary to securing the tube.
Question 4 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing the NG tube with 5 mL of sterile water before administration clears the tube ensuring effective medication delivery and preventing blockages. Mixing medications diluting unnecessarily or combining with formula risks interactions or reduced efficacy.
Question 5 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: C
Rationale: Assessing peripheral pulses first ensures circulation is not compromised by restraints which could lead to serious complications like tissue ischemia. Skin integrity comfort and elimination needs are assessed subsequently to ensure overall safety and comfort.