ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure who take hydrochlorothiazide may experience nocturia, which can increase the risk of falls at night due to frequent trips to the bathroom. Leaving a light on in the bathroom at night can help the client navigate safely.
Choice A is incorrect because weighing once weekly does not address the safety concern related to nocturia.
Choice B is incorrect as taking the medication in the evening is not directly related to safety considerations.
Choice C is incorrect because taking a hot bath before bed may exacerbate heart failure symptoms.
Question 2 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: The correct answer is C: Ensure the client’s heels are not touching the mattress. This is important because pressure injuries commonly occur on bony prominences, such as the heels, due to prolonged pressure and friction. By ensuring the client’s heels are elevated off the mattress, the nurse can reduce the risk of pressure injury development in this area. Repositioning the client every 4 hours (choice
A) is important but may not specifically address the risk of pressure injury on the heels. Raising the head of the client’s bed to a 60° angle (choice
B) is more related to preventing aspiration in a postoperative client than preventing pressure injuries. Massaging the client’s bony prominences (choice
D) can actually increase the risk of skin breakdown due to friction and shearing forces.
Question 3 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 4 of 5
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Ensuring the client’s bed is in the lowest position prevents falls and minimizes injury risk if the client tries to get out of bed.
B: Assessing skin temperature and color before applying restraints ensures proper circulation and skin integrity.
D: Padding bony prominences before applying restraints prevents pressure ulcers and discomfort for the client.
Summary:
C: Attaching the restraints to the bed rail can increase the risk of injury if the client moves around.
E: Allowing three fingers to slide under the restraints is incorrect as it can lead to improper fit and ineffective restraint.
Question 5 of 5
A nurse is reviewing complementary therapies approved by the provider with a client who has hypertension. Which of the following supplements should the nurse discuss with the client?
Correct Answer: A
Rationale: The correct answer is A: Garlic. Garlic has been shown to potentially help lower blood pressure in individuals with hypertension due to its active compound allicin. Allicin has been suggested to relax blood vessels, leading to improved blood flow and reduced blood pressure. Peppermint oil (
B) is not typically used for hypertension. Licorice root (
C) can raise blood pressure and should be avoided. Chamomile (
D) is not known for its effect on blood pressure.