ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client’s belief that education will meet their needs aligns with self-efficacy theory, enhancing motivation to learn. External explanations, family approval, empathy, or fear of needles are less effective motivators.
Question 2 of 5
What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?
Correct Answer: A
Rationale: Assault is an intentional act causing fear of imminent harm, such as threatening restraints. Defamation involves false statements harming reputation, false imprisonment restricts movement, battery involves harmful touching, and negligence involves failure to meet care standards, none of which apply here.
Question 3 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Asking a second nurse to witness and sign for wasted controlled substances ensures accountability and compliance with regulations. Verifying counts should occur before removal, waste goes to designated containers, discrepancies are reported immediately, and storing unused portions is prohibited.
Question 4 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing tracheostomy ties to allow one finger to fit snugly ensures the tube is stable without being too tight, preventing skin breakdown or dislodgement. Normal saline is not typically used for stoma cleaning (sterile solutions are preferred), soaking the outer cannula in soapy water is not recommended, and cotton tip applicators risk leaving fibers in the cannula. Applying a warm compress is incorrect, as it may promote infection or irritation.
Question 5 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: B
Rationale: Dilated pupils occur during the alarm reaction stage due to sympathetic nervous system activation in the fight-or-flight response. Depression is not specific, bradycardia contradicts tachycardia in this stage, exhaustion occurs in the final stage, and hypotension is not typical.