ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the 'background' portion of the Situation,Background,Assessment,Recommendation (SBAR) Communication tool?
Correct Answer: A
Rationale: In the 'background' portion of the SBAR tool the nurse should include the client's present condition to provide context and a baseline for the provider. Suggestions and physical findings belong in the 'assessment' or 'recommendation' sections. Previous treatments may be relevant but are secondary to the current condition in the 'background' section.
Question 2 of 5
A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Dishwashing gloves adhesive tape and rubber bands often contain latex triggering allergies. Macadamia nuts and bananas are unrelated to latex allergies though they may cause other allergies.
Question 3 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slowly instilling 400 to 500 mL of solution effectively flushes the bladder without overdistension. Clamping the tubing prevents solution flow using a needle is inappropriate and withdrawing solution disrupts the irrigation process.
Question 4 of 5
A nurse is reviewing the client's right to refuse treatment with other members of the health care team. The nurse should identify this right as which of the following ethical principles?
Correct Answer: D
Rationale: Autonomy emphasizes a client’s right to make decisions about their healthcare including refusing treatment. Justice involves fair resource distribution veracity is truthfulness and fidelity is loyalty to the client’s well-being none of which directly address refusal rights.
Question 5 of 5
A nurse is setting up a sterile field prior to changing a client's dressing. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the sterile kit on the overbed table above waist level maintains sterility by avoiding contamination from lower surfaces. Opening the flap toward the body turning back to the field when coughing or dropping gauze from 12 inches risks contaminating the sterile field.