ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Endotracheal suctioning. This procedure should be prioritized as it is essential for maintaining the client's airway patency and preventing respiratory complications. Endotracheal suctioning helps remove secretions that may obstruct the airway and impede oxygenation. Failure to perform this procedure promptly can lead to respiratory distress or compromise the client's breathing. Urinary catheter care (
A), wound irrigation (
B), and enteral feeding (
C) are important aspects of care but do not take precedence over airway management. Prioritizing endotracheal suctioning ensures the client's respiratory needs are addressed first before attending to other care tasks.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: D
Rationale: The correct answer is D: "It’s nice having other people cook for me." This statement indicates the client has adapted to their new situational role by accepting help from others, showing a shift from previous independence. The client acknowledging and appreciating the assistance with daily tasks like cooking signifies a positive adjustment.
Explanation of why other choices are incorrect:
A: "I’ve never been the kind of person to ask others for help" - This statement suggests a reluctance to seek help, indicating a lack of adaptation to the new situation.
B: "I’m looking forward to being able to be independent again" - This statement reflects a desire to regain independence, not necessarily adapting to the current living arrangement.
C: "I really don’t know what I’m supposed to do all day" - This statement indicates confusion and uncertainty, not adaptation to the new role.
Question 3 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 4 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: A
Rationale: The correct answer is A: Read the medication label twice prior to administration. This is crucial to ensure that the right medication, dosage, and route are being administered to the correct patient. By double-checking the medication label, the nurse can verify that there are no errors or discrepancies that could lead to medication errors. Using one patient identifier (
Choice
B) is important but not specific to medication safety. Accessing the online drug formulary (
Choice
C) is helpful for additional information but not essential for immediate safe administration. Asking the client about previous medication history (
Choice
D) is relevant but does not guarantee safe administration as it relies on the client's memory and may not always be accurate.
Question 5 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Endotracheal suctioning. This procedure should be prioritized as it is essential for maintaining the client's airway patency and preventing respiratory complications. Endotracheal suctioning helps remove secretions that may obstruct the airway and impede oxygenation. Failure to perform this procedure promptly can lead to respiratory distress or compromise the client's breathing. Urinary catheter care (
A), wound irrigation (
B), and enteral feeding (
C) are important aspects of care but do not take precedence over airway management. Prioritizing endotracheal suctioning ensures the client's respiratory needs are addressed first before attending to other care tasks.