ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D - "My medications could interact with foods that I eat."
Rationale:
1. Medications can interact with foods: Some medications can have interactions with certain foods, affecting their effectiveness or causing side effects.
2. Importance of awareness: Being aware of potential food-drug interactions is crucial to ensure medication safety and effectiveness.
3. Client safety: Understanding the possibility of food-medication interactions shows the client's comprehension of medication safety, indicating responsible behavior.
Summary of Incorrect
Choices:
A: Incorrect - Not informing the doctor about herbal supplements can lead to potential drug interactions.
B: Incorrect - Past use of medications does not guarantee immunity to allergic reactions; precautions are still necessary.
C: Incorrect - Stopping medication abruptly can be dangerous; consulting a healthcare provider is crucial.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by their provider. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse is respecting the client's autonomy and cultural beliefs by offering a referral to a practitioner of traditional Chinese medicine. This response shows cultural competence and patient-centered care.
Choice A is incorrect because it assumes the provider will recommend against traditional Chinese medicine.
Choice B is incorrect because it dismisses the client's preference without exploring it further.
Choice C is incorrect because the FDA does not regulate traditional Chinese medicine.
Question 3 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep the collection bag below bladder level. This is crucial to prevent backflow of urine into the bladder, reducing the risk of infection. Keeping the collection bag below bladder level ensures a continuous flow of urine out of the bladder and into the bag, minimizing the chances of bacterial migration.
Other choices are incorrect:
A: Using a size 20 French catheter is not directly related to decreasing infection risk.
B: Allowing the drainage bag to fill completely before emptying can increase the risk of infection due to stagnant urine.
C: Disconnecting the drainage tube for catheter irrigation can introduce bacteria into the system.
Overall, maintaining proper positioning of the collection bag is key in preventing catheter-associated urinary tract infections.
Question 4 of 5
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Administers an analgesic medication 5 minutes before starting irrigation. Administering an analgesic medication before wound irrigation helps to manage the client's pain during the procedure, promoting comfort and compliance. This action indicates the staff nurse's understanding of the importance of pain management in wound care.
Rationale for why the other choices are incorrect:
A: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client due to the cold temperature.
C: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination and infection.
D: Using a syringe with a catheter for wound irrigation is not the standard practice for pressure injury wound irrigation and may not provide effective cleansing of the wound.
Question 5 of 5
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Allow the client to slide down their outstretched leg. This is the safest option as it helps to lower the client to the ground in a controlled manner, reducing the risk of injury. Moving quickly in front of the client (
A) can potentially cause both the nurse and the client to fall. Remaining upright (
B) increases the risk of injury to both parties. Placing arms around the client (
D) may not provide enough support and could lead to both falling. It's important for the nurse to prioritize the safety of the client by guiding them down gently.