ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Secure the tracheostomy in place with a collar that has hook-and-loop fasteners. This is important to prevent accidental dislodgement of the tracheostomy tube. The collar provides stability and support to keep the tube in place. Cutting a gauze pad to place under the flanges (
A) is not necessary and may increase the risk of infection. Cleansing the skin with full-strength hydrogen peroxide (
B) can be irritating and damaging to the skin. Wearing clean gloves while cleaning the inner cannula (
D) is essential for infection control but is not directly related to securing the tracheostomy in place.
Question 2 of 5
A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C: Verify the dose of insulin with another nurse once it is prepared. This is the first action the nurse should perform to ensure patient safety through a double-check process. It helps prevent medication errors by confirming the accuracy of the insulin dose before administration. Administering the insulin dose using a tuberculin syringe (
A) may be appropriate, but verifying the dose first is crucial. Using a filter needle when withdrawing medication from the multidose vial (
B) is not necessary for administering insulin. Mixing long-acting and rapid-acting insulin in one syringe (
D) is contraindicated as it may alter the pharmacokinetics of the insulin types.
Question 3 of 5
A nurse is reviewing the client’s medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: The correct answer includes family history, fasting glucose level, history of hyperlipidemia, hypertension, and cholesterol level. Family history is a non-modifiable risk factor for heart disease. Elevated fasting glucose indicates potential diabetes, a risk factor for heart disease. Hyperlipidemia contributes to plaque buildup in arteries. Hypertension strains the heart and blood vessels. Abnormal cholesterol levels can lead to atherosclerosis.
Choices D and G are not directly linked to heart disease risk.
Question 4 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: The correct answers are B, C, F, and G.
B: The steroid dose will decrease each day to gradually taper off the medication and prevent withdrawal symptoms.
C: Adjusting the oxygen flow rate as needed to ease breathing helps maintain adequate oxygen levels, promoting respiratory function.
F: Steroid medication should be taken in the morning to mimic the body's natural cortisol production rhythm and reduce the risk of sleep disturbances.
G: Ensuring the oxygen delivery system is at least 8 feet from any heat source prevents fire hazards and maintains safe oxygen levels.
Incorrect answers:
A: Antibiotic medication should be taken as prescribed, whether with or without food depends on the specific medication.
D: Antibiotic therapy duration varies based on the type of infection; it should be completed as prescribed.
E: The oxygen cylinder wrench should be stored in a separate, easily accessible location for emergency use, not attached to the oxygen tank.
Question 5 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product’s compatibility with the client’s blood type. Before administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves verifying the client's blood type and cross-matching it with the blood product to prevent adverse reactions.
Choice B is incorrect because lactated Ringer's should not be used to prime the tubing for blood transfusion, as it can cause hemolysis.
Choice C is incorrect as a small gauge IV catheter may not be suitable for blood transfusion due to the viscosity of packed RBCs.
Choice D is incorrect as confirming the client's identity with the blood bank technician is important but does not address the immediate safety concern of blood type compatibility.