ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Recommend an interpreter who is the same gender as the client. This is important for cultural sensitivity and to help the client feel more comfortable and at ease during the consent process. It ensures effective communication and understanding between the nurse, client, and interpreter. Using medical terminology (choice
A) may result in confusion for a client who does not speak the language. Addressing all questions to the interpreter (choice
C) may bypass direct communication with the client, leading to potential misunderstandings. Having the client nod to indicate understanding (choice
D) may not guarantee comprehension of the information.
Question 2 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.
Question 3 of 5
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Hold the bottle of sterile solution so that the label is facing the palm of the hand. This action is important to maintain the sterility of the solution. By holding the bottle with the label facing the palm, the nurse ensures that the solution does not come into contact with the outside of the bottle, which could introduce contaminants. This practice helps prevent the introduction of microorganisms into the sterile field, reducing the risk of infection for the client.
Incorrect options:
A: Applying sterile gloves before opening the bottle of sterile solution is not necessary for preparing the sterile field.
B: Placing the lid of the sterile solution bottle face down on the sterile drape can lead to contamination.
D: Pouring the sterile solution from a height of 20 cm (8 in) above the sterile bowl may create splashing and increase the risk of contamination.
Question 4 of 5
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: The correct answer is A: Name. The nurse should use the client's name as the identifier because it is a unique and specific way to confirm the client's identity. Names are individualized and less likely to be shared among patients, reducing the risk of medication errors. Using age (
B), photograph (
C), room number (
D), or bed number (E) alone may not guarantee accurate identification. Age, photographs, room numbers, and bed numbers can be shared or mistaken, leading to potential errors. Using the client's name ensures proper identification and enhances patient safety.
Question 5 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.