ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is preparing to obtain a blood sample from an adult client for a capillary blood glucose test. Which of the following sites should the nurse select?
Correct Answer: D
Rationale: The correct answer is D: The side of the ring finger. This site is ideal for capillary blood glucose testing because it has good blood flow, is less painful, and minimizes the risk of injury to the patient. The thumb (choice
A) and big toe (choice
C) have thicker skin and may result in more pain and difficulty in obtaining an adequate blood sample. The pinna of the ear (choice
B) lacks sufficient blood flow for accurate testing. Other choices are not commonly used for capillary blood glucose testing in adults.
Question 2 of 5
A nurse is caring for a client who is exhibiting violent behavior and requires the application of wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A: Attach the restraints using a quick-release tie.
Rationale: Using a quick-release tie allows for quick removal in case of an emergency, ensuring the client's safety. It prevents harm and allows for easy access in case the client needs to be freed promptly. This action aligns with client safety protocols and ethical considerations.
Summary of other choices:
B: Contacting the provider for a PRN prescription may cause a delay in applying restraints, risking harm to the client.
C: Securing restraints to a side rail can lead to entrapment and pose a safety hazard.
D: Leaving enough room for three fingers does not secure the restraints adequately, risking the client's safety.
Question 3 of 5
A nurse is teaching a class about the levels of health care services. The nurse should include that emergency care is part of which of the following health care services?
Correct Answer: D
Rationale: The correct answer is D: Secondary care. Emergency care is considered part of secondary care because it involves providing immediate treatment for acute conditions that require urgent attention but are not severe enough to warrant hospitalization. Secondary care typically involves specialists and advanced medical procedures. Preventive care (
A) focuses on preventing illness, primary care (
C) provides initial and ongoing care for common health issues, and tertiary care (
B) includes specialized and complex treatments for rare or severe conditions.
Therefore, emergency care aligns most closely with the characteristics of secondary care.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. An occupational therapist specializes in helping individuals regain the ability to perform daily activities, such as eating, after injuries like traumatic brain injury. They focus on improving fine motor skills, coordination, and adaptive techniques for using utensils. Physical therapists focus more on mobility and strength training, making them less suitable for this specific task. Speech-language pathologists address communication and swallowing issues, not utensil use. Social workers primarily provide support with emotional and social aspects, not the physical rehabilitation needed here.
Question 5 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?
Correct Answer: D
Rationale: The correct action for the nurse to take first is D: Obtain the client's type and cross-match. This is the priority because ensuring that the client has the necessary blood products available for surgery is crucial for their safety. By obtaining the type and cross-match promptly, the nurse can address the oversight and prevent any potential harm to the client during the surgery.
Informing the provider (
A) can be done after obtaining the type and cross-match to update them on the situation. Documenting the incident (
B) in the client's medical record is important but should not take precedence over ensuring the client's safety. Similarly, preparing an incident report (
C) for risk management is important for quality improvement but can be done after addressing the immediate issue.