ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying 4 to 5 mL of soap (
C) ensures effective handwashing. Other choices are incorrect techniques that reduce efficacy or safety.
Question 2 of 5
Before administering a medication to a client,the nurse must identify the client. Which of the following methods of identification should the nurse use?
Correct Answer: A
Rationale: Asking for name and date of birth (
A) is the standard for accurate client identification. Other choices are unreliable or secondary.
Question 3 of 5
An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1°C (98.8°F),pulse 92/min,respiratory rate 18/min,and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?
Correct Answer: B
Rationale: The BP of 98/58 mm Hg (
B) is low particularly the diastolic requiring re-measurement to ensure accuracy. Other vitals are normal.
Question 4 of 5
A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min,respiratory rate 24/min BP 132/76 mm Hg and temperature 36.8°C (98.2°F). Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: A neurological check (
C) is priority to assess sudden confusion and drowsiness indicating a potential neurological issue. Other choices are not immediately relevant.
Question 5 of 5
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence
Correct Answer: B
Rationale: Scheduled toileting every 2 hours is an effective non-invasive intervention for managing incontinence in clients with dementia promoting regular voiding and reducing accidents.
Choice A increases infection risk and is a last resort.
Choice C is unreliable due to cognitive impairment in dementia.
Choices D and E (identical) do not address the underlying issue and may compromise dignity.