ATI RN
ATI RN Fundamentals 2023 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: C
Rationale: The correct answer is C: Inject 5.1 cm (2 in) away from the umbilicus. This instruction is important to prevent any damage to the abdominal organs near the umbilicus. Injecting heparin too close to the umbilicus can lead to injury or bleeding.
Choice A is incorrect because an 18-gauge, 1-inch needle is too large for subcutaneous injections like heparin administration.
Choice B is incorrect as massaging the injection site after withdrawing the needle can increase the risk of bruising or bleeding.
Choice D is incorrect as expelling air bubbles before injecting medication is essential for intravenous injections, not subcutaneous injections like heparin.
Question 2 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: The correct answer is A. The area rug covering a tile floor is a safety hazard for the client with osteoporosis as it increases the risk of falls. The uneven surface can cause tripping and slipping accidents, leading to fractures. The other choices are safe practices. B: Grab bars in the shower promote stability and prevent falls. C: Using a medication organizer ensures proper medication management. D: Setting the hot water heater at 47°C prevents scalding injuries.
Question 3 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent choking or aspiration. Giving medications one at a time ensures the client can swallow each pill safely.
A: Assisting the client into semi-Fowler's position is generally beneficial for swallowing but is not directly related to medication administration for dysphagia.
B: Giving medications between meals may not be ideal for a client with dysphagia as they may need to take medications with food to avoid stomach upset.
C: Encouraging the use of a straw can increase the risk of aspiration for clients with dysphagia due to the potential for liquid to enter the airway.
E, F, G: Irrelevant options.
Question 4 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: The correct answer is A: Speech-language pathologist. This professional specializes in evaluating and treating swallowing difficulties, known as dysphagia, which is common after a stroke. The speech-language pathologist can assess the client's swallowing function, provide strategies to improve safety during meals, and recommend appropriate diet modifications. The other choices, such as social worker, physical therapist, and occupational therapist, do not have the specific expertise in managing swallowing disorders like a speech-language pathologist does in this scenario.
Question 5 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: The correct answer is A. Area rugs can pose a fall risk for individuals with osteoporosis due to increased likelihood of tripping.
Choice B is correct as it promotes safety in the shower.
Choice C is appropriate for medication management.
Choice D is safe as it prevents scalding.