ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Inject 5.1 cm (2 in) away from the umbilicus. This instruction is crucial to prevent any potential bruising or irritation at the injection site. Injecting too close to the umbilicus can lead to discomfort and complications. Option A is incorrect as a smaller gauge needle is recommended for heparin injections to minimize tissue trauma. Option C is incorrect as air bubbles should be removed to prevent air embolism, not specifically related to heparin administration. Option D is incorrect as massaging the injection site can cause bruising and should be avoided.
Question 2 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will walk three times per week." Weight-bearing exercises like walking help improve bone density and reduce the risk of osteoporosis. Walking stimulates the bones to retain calcium, making them stronger.
Choice B is incorrect because sunlight exposure is needed for vitamin D synthesis, important for calcium absorption.
Choice C is incorrect as dairy products provide essential calcium for bone health.
Choice D is incorrect because the recommended daily calcium intake is around 1000-1200 mg for older adults.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Using grab bars in the bathtub prevents slips and falls, promoting safety.
B: Having a fire escape plan ensures preparedness in case of emergencies.
E: Checking medication expiration dates maintains their effectiveness and prevents harm.
Incorrect
Choices:
C: Setting the hot water heater to 140°F can scald and cause burns.
D: Applying tape to frayed electrical cords is a fire hazard and can lead to electrocution.
Question 4 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?
Correct Answer: A
Rationale: The correct answer is A: Read the medication label twice prior to administration. This is crucial to ensure that the right medication, dosage, and route are being administered to the correct patient. By double-checking the medication label, the nurse can verify that there are no errors or discrepancies that could lead to medication errors. Using one patient identifier (
Choice
B) is important but not specific to medication safety. Accessing the online drug formulary (
Choice
C) is helpful for additional information but not essential for immediate safe administration. Asking the client about previous medication history (
Choice
D) is relevant but does not guarantee safe administration as it relies on the client's memory and may not always be accurate.
Question 5 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In emergency situations where a patient is unconscious and requires immediate surgery to save their life, the healthcare provider has a duty to act in the best interest of the patient. The principle of beneficence dictates that the nurse should prioritize the patient's well-being and take necessary actions to provide timely treatment. In this case, preparing the client for surgery is crucial to ensure that they receive the necessary medical intervention promptly. Waiting for a family member to arrive for consent or contacting the ethics committee could delay potentially life-saving treatment. Obtaining consent from the surgeon is not appropriate as the surgeon's role is to perform the surgery, not provide consent.
Therefore, option A is the most appropriate course of action in this scenario.