ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Providing written information is required by the Patient Self-Determination Act. Providers don’t sign directives (
A) partners don’t need to be present (
B) and signing is voluntary (
D).
Question 2 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time ensures safety while assessing the client. Tying to side rails (
A) risks injury square knots (
C) are hard to release and restraints need removal every 1-2 hours (
D).
Question 3 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 4 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution promotes heat loss via evaporation. Blankets reduce cooling blanket efficacy (
A) heavy blankets trap heat (
B) and ice packs (
D) cause vasoconstriction hindering cooling.
Question 5 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: B
Rationale: Reporting discrepancies ensures accurate inventory and prevents diversion. The nurse records waste (
A) sharps containers are for needles (
C) and counts are verified before removal (
D).