ATI RN
ATI Fundamentals 2023 Retake 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: B
Rationale: The correct answer is B: "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 are at risk for nocturia (nighttime urination) due to the medication's diuretic effect. Leaving a light on in the bathroom at night can prevent falls and accidents during nighttime bathroom visits.
Choice A: "I will take a hot bath before going to bed." - Incorrect, as hot baths before bed can potentially worsen heart failure symptoms by increasing heart rate and blood pressure.
Choice C: "I will weigh myself once weekly." - Incorrect, as monitoring weight daily is crucial for individuals with heart failure and taking diuretics to manage fluid retention.
Choice D: "I will take my new medication in the evening." - Partially correct, but the priority in this scenario is safety considerations, not medication timing.
Question 2 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is crucial to prevent irritation and pressure on the stoma, allowing proper flow of stool into the pouch.
Choice A is incorrect as applying the pouch while the skin barrier is damp can cause skin breakdown.
Choice C is incorrect as rubbing the peristomal skin dry can cause irritation.
Choice D is incorrect as changing the pouch every 24 hours is unnecessary unless leakage or irritation occurs.
Question 3 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: A
Rationale: The correct answer is A: Walk for 30 minutes three to five times each week. Weight-bearing exercises like walking help to build and maintain bone density, reducing the risk of osteoporosis. Walking is accessible, low-impact, and can be easily incorporated into daily routine.
Choice B (water aerobics) is beneficial for overall fitness but may not have the same bone-strengthening effects as weight-bearing exercises.
Choice C (maintain a lean body mass) is important for general health but not specific to osteoporosis prevention.
Choice D (increase intake of vitamin B12) is not directly linked to osteoporosis prevention.
Question 4 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E.
A: When removing the medication from the drawer, the nurse ensures the correct medication is being administered.
D: When preparing the dosage, the nurse verifies the medication details before administering it to the patient.
E: Directly before administering the medication, the nurse confirms the medication matches the prescription.
B and C are incorrect because comparing the records and labels should occur before medication is given.
Question 5 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent aspiration. By giving medications one at a time, the nurse ensures the client can safely swallow and digest each pill without any complications. Encouraging the client to use a straw (
A) can increase the risk of aspiration. Giving medications between meals (
B) may not provide adequate supervision and support during medication administration. Assisting the client into semi-Fowler's position (
D) can help with swallowing, but administering medications one at a time is more specific to addressing the issue of dysphagia.