ATI RN Fundamentals 2023 I

Extract:

Question 1 of 5

A nurse is teaching a client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of possible anaphylaxis?

A. A feeling of swelling in the feetB. Pain at the injection siteC. A sudden decrease in heart rateD. A sharp decrease in blood pressure

Correct Answer: D

Rationale: A sharp drop in blood pressure is a key anaphylaxis symptom, indicating shock. Swelling in feet, injection site pain, and decreased heart rate (late-stage) aren’t primary indicators—tachycardia is more typical early on. Note: Question seems misaligned; likely intended for osteoporosis, not anaphylaxis.

Question 2 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?

A. Read the medication label twice prior to administrationB. Use one patient identifier prior to medication administrationC. Access the online drug formulary for an unfamiliar medicationD. Ask the client if they have ever taken a similar medication

Correct Answer: A

Rationale: Reading the label twice confirms the right medication and dose, a key safety step. One identifier is insufficient (two are standard), online formularies supplement knowledge, and client history isn’t enough for verification.

Question 3 of 5

A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

A. Antibiotic medication can be taken with or without foodB. The steroid dose will decrease each dayC. Adjust the oxygen flow rate as needed to ease breathingD. Antibiotic therapy should be taken for 10 daysE. Store the oxygen cylinder wrench with the oxygen tankF. Steroid medication should be taken in the morningG. Ensure the oxygen delivery system is at least 8 feet from any heat source

Correct Answer: B,C,F,G

Rationale: B: Tapering prednisone prevents adrenal insufficiency. C: Adjusting oxygen aids breathing (with guidance). F: Morning dosing aligns with cortisol rhythm. G: Keeping oxygen 8 feet from heat prevents fire hazards. A, D, E lack specific support from the MAR.

Question 4 of 5

A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?

A. Extend the client’s neck while securing the tiesB. Use a quick-release knot to secure the tiesC. Allow space for three fingers under the ties when securingD. Cut the old ties after the new ties are secured

Correct Answer: D

Rationale: Securing new ties before cutting old ones prevents tube dislodgement. Extending the neck risks airway compromise, quick-release knots aren’t standard, and three fingers’ space is excessive—one to two fingers is typical.

Question 5 of 5

A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse’s priority?

A. The client leans to the left side while sittingB. The client coughs frequently while eatingC. The client is consuming 25% of their mealsD. The client’s blood pressure is 142/94 mm Hg

Correct Answer: B

Rationale: Frequent coughing while eating suggests aspiration risk, a priority due to potential pneumonia in stroke patients. Leaning indicates balance issues, low intake needs monitoring, and BP is elevated but not critical.

ATI RN Fundamentals 2023 I | Nurselytic

Nurselytic

ATI RN

ATI RN