ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Use sterile technique when performing tracheostomy care at home. This is vital to prevent infections and complications. Sterile technique involves maintaining cleanliness and minimizing the risk of introducing pathogens.
Choices A, B, and D are incorrect. A: Removing the outer cannula carelessly can cause injury or displacement. B: Using tracheostomy covers outdoors is important for filtration but not the primary aspect of care. D: Cleaning mist with hydrogen peroxide can be harmful to the skin and mucous membranes.
Question 2 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 3 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale:
Correct Answer: A: Insert the catheter at a 45-degree angle.
Rationale: Inserting the catheter at a 45-degree angle is appropriate for older adults as their skin may be more fragile, reducing the risk of tissue damage. This angle also helps in successful IV insertion by facilitating cannulation of the vein.
Summary of other choices:
B: Placing the client's arm in a dependent position does not directly impact the IV catheter insertion process.
C: Shaving excess hair is unnecessary and may increase the risk of skin irritation and infection.
D: Initiating IV therapy in the veins of the hand is not specific to the insertion technique and does not address the angle of insertion.
Question 4 of 5
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 107
Rationale:
To calculate the infusion rate, divide the total volume to be infused (750mL) by the total time in hours (7 hours). 750mL / 7 hours = 107 mL/hr. This is the correct answer as it determines the rate at which the solution should be administered to ensure the correct dosage is delivered over the specified time. Other choices are incorrect as they do not result from the correct calculation method, which is essential in determining the appropriate infusion rate for the patient.
Question 5 of 5
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Ensure the bladder or the blood pressure cuff surrounds 50% of the client's arm. This technique is essential for obtaining an accurate blood pressure measurement. Placing the cuff around only 50% of the arm circumference ensures the appropriate pressure on the brachial artery, leading to an accurate reading. If the cuff is too small, the reading will be falsely elevated, and if it's too large, the reading will be falsely low. This step is crucial in preventing errors in blood pressure assessment.
Choice A is incorrect as the FLACC pain rating scale is used for assessing pain in nonverbal patients, not for physical assessment techniques.
Choice C is incorrect as the apical heart rate is obtained by auscultating at the fifth intercostal space, not the third.
Choice D is incorrect because palpating the abdomen before auscultating bowel sounds can lead to altered bowel sounds due to manipulation of the abdomen.