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. 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.
Question 3 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: C
Rationale: The correct answer is C: "It's nice having other people cook for me." This statement indicates that the client has adapted to their new situational role because they are acknowledging and appreciating the help and support provided by their adult child in terms of meal preparation. This shows acceptance of their changed circumstances and a willingness to rely on others for assistance, which is a positive sign of adaptation.
Other choices are incorrect:
A: "I'm looking forward to being able to be independent again." This statement indicates a desire for independence, not necessarily adaptation to the new situation.
B: "I've never been the kind of person to ask others for help." This statement suggests resistance to seeking help, which is not indicative of adaptation.
D: "I really don't know what I'm supposed to do all day." This statement indicates confusion and uncertainty, showing a lack of adjustment to the new living arrangement.
Question 4 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps determine if there is a conductive or sensorineural hearing loss. Placing the tuning fork on the forehead allows the sound to be conducted through bone to both cochleae simultaneously. If the client hears the sound equally in both ears, it suggests normal hearing or symmetrical hearing loss. If the client hears the sound louder in one ear, it indicates conductive hearing loss in that ear.
Choice A is incorrect because random high-pitched sounds do not specifically test for conductive vs. sensorineural hearing loss.
Choice C is incorrect because the tuning fork should be placed on the forehead, not the mastoid process, for the Weber's test.
Choice D is incorrect as whispering words does not test for conductive vs. sensorineural hearing loss.
Question 5 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Hold bottles of sterile solution with the label in the palm of the hand. This is correct because it ensures that the nurse maintains sterile technique by preventing contamination of the solution. Holding the bottles with the label in the palm of the hand prevents touching the outside of the bottle, which could introduce contaminants.
Choice B is incorrect because pouring liquids into containers outside the sterile field risks contamination.
Choice C is incorrect as the sterile field should be at the level of the nurse's chest to prevent inadvertent contamination.
Choice D is incorrect because opening the outermost flap of the sterile kit toward the body risks contaminating the contents.