ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Hold bottles of sterile solution with the label in the palm of the hand. This is important to maintain sterility as the label may come into contact with non-sterile surfaces. Holding the bottle this way prevents contamination. Pouring liquids into containers outside the sterile field (
A) can introduce contaminants. Placing the sterile field at the level of the nurse's hips (
B) may lead to contamination from non-sterile surfaces. Opening the outermost flap of the sterile kit toward the body (
D) risks contamination as well. Placing the client in high-Fowler's position (E) is unrelated to setting up a sterile field.
Question 2 of 5
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: C
Rationale: The correct answer is C: Wear a mask when working within 3 feet of the client. Wearing a mask helps prevent the spread of respiratory droplets containing the influenza virus. This action protects the nurse and other individuals from inhaling the virus. Administering metronidazole (
A) is not relevant for influenza treatment. Donning protective eyewear (
B) is not necessary unless there is a risk of splashes or sprays. Placing the client in a negative airflow room (
D) is excessive for standard isolation precautions for influenza.
Question 3 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: D
Rationale: The correct answer is D: Assault. Assault is the intentional threat of harmful or offensive contact with a person, creating fear of imminent harm. In this scenario, the nurse's statement of administering medication by injection if the client doesn't comply constitutes a threat of harm, hence meeting the criteria for assault. Other choices are incorrect because: A: Invasion of privacy involves a violation of a person's right to privacy, not relevant here. B: Battery is the intentional harmful or offensive contact without consent, not applicable in this situation. C: Defamation involves false statements that harm a person's reputation, not happening here.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Hold bottles of sterile solution with the label in the palm of the hand. This is important to maintain sterility as the label may come into contact with non-sterile surfaces. Holding the bottle this way prevents contamination. Pouring liquids into containers outside the sterile field (
A) can introduce contaminants. Placing the sterile field at the level of the nurse's hips (
B) may lead to contamination from non-sterile surfaces. Opening the outermost flap of the sterile kit toward the body (
D) risks contamination as well. Placing the client in high-Fowler's position (E) is unrelated to setting up a sterile field.
Question 5 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings during the night, reducing the risk of tripping or falling. A: Keeping the room temperature low can increase the risk of falls due to discomfort. B: Placing the table far from the bed can make it difficult for the client to reach items and increase the risk of falls. D: Elevating full-length side rails can lead to entrapment and should only be used when necessary and with proper assessment.