ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication to the abdomen. When self-administering heparin, the abdomen is the recommended site due to its larger subcutaneous tissue and slower absorption, reducing the risk of hematoma formation and irritation. Administering heparin in the abdomen also allows for consistent absorption and avoids potential complications from injecting in areas with higher vascularity.
Choices A, B, and D are incorrect because stirring the needle, aspirating the syringe, and massaging the site are not recommended practices for administering heparin. These actions can increase the risk of bruising, bleeding, or tissue damage. It is important to follow evidence-based guidelines for safe and effective medication administration.
Question 2 of 5
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C because using the planning step of the nursing process to prioritize client care delivery allows the nurse to systematically organize and prioritize tasks based on client needs, urgency, and importance. By following this approach, the nurse can allocate time efficiently to address critical client needs first, thus optimizing time management.
Choice A is incorrect as combining client care tasks may lead to overlooking specific client needs or compromising the quality of care.
Choice B is incorrect because waiting until the end of the shift to document client care can result in inaccuracies, omissions, or delays in recording important information.
Choice D is incorrect as allowing interruptions in tasks to discuss client care issues with colleagues can disrupt workflow and hinder time management.
Overall, utilizing the planning step of the nursing process is the most effective strategy for managing time and ensuring comprehensive and timely client care.
Question 3 of 5
A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?
Correct Answer: C
Rationale: The correct answer is C: Role overload. This is because the partner is feeling overwhelmed with managing household responsibilities alongside caring for their partner with dementia, indicating an excessive amount of roles to fulfill. Role overload occurs when an individual is faced with too many responsibilities and not enough time or resources to fulfill them all effectively.
A: Role ambiguity refers to uncertainty about one's responsibilities or expectations in a role, which is not the case in this scenario.
B: Sick role is when an individual takes on the identity of being sick and may rely on others for help, which does not align with the partner's situation.
D: Role conflict is when there are conflicting demands between different roles, which is not the primary issue here.
In summary, the partner is experiencing role overload because they are struggling to balance multiple responsibilities, leading to feelings of frustration and stress.
Question 4 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Sodium 130 mEq/L. A sodium level of 130 mEq/L is considered hyponatremia, indicating low sodium concentration in the blood which can lead to neurological symptoms like confusion and seizures. The nurse should report this finding to the provider for further evaluation and treatment.
Choice B: Creatinine 1.0 mg/dL is within the normal range and does not indicate a fluid or electrolyte imbalance.
Choice C: Sodium 135 mEq/L is within the normal range and does not require immediate reporting.
Choice D: Potassium 5.4 mEq/L is slightly elevated but not as critical as hyponatremia. It may indicate hyperkalemia, which can affect cardiac function but does not require immediate reporting in this case.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum as prescribed.
Question 5 of 5
A nurse is admitting a client to a healthcare facility. The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Wearing an N95 mask helps prevent the spread of airborne infections.
B: Placing a container for soiled linens inside the room prevents contamination of other areas.
C: Placing the client in a negative airflow room helps contain airborne pathogens.
E: Wearing a sterile water-resistant gown within 3 feet of the client prevents contact transmission.
Incorrect
Choices:
D: Removing the mask after exiting the room increases the risk of spreading infection.
F & G: No additional choices provided, so not applicable.