ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you donβt swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the threat of harmful or offensive contact without actual physical contact. In this scenario, the nurse's statement of administering medication by injection is a threat of harm if the client doesn't comply. This creates a reasonable fear of imminent battery, making it assault. Defamation (
B) involves false statements harming one's reputation; Battery (
C) is the actual harmful or offensive contact; Invasion of privacy (
D) is unauthorized intrusion into personal matters.
Question 2 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. The nurse must assess the client's risk for self-harm or suicide, as the client expressed a desire to die.
2. Asking directly about self-harm opens the conversation and allows the nurse to assess the severity of the client's thoughts.
3. This response shows the nurse's concern for the client's safety and well-being.
4. It initiates a crucial dialogue to determine the appropriate level of intervention needed for the client's safety.
Summary of other choices:
A: Asking about the partner may divert the conversation and miss addressing the immediate risk of self-harm.
C: While discussing feelings with a provider is important, the urgency of the situation requires immediate assessment by the nurse.
D: Inquiring about medication adherence is relevant but not the priority when the client expresses suicidal ideation.
Question 3 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.
Question 4 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Endotracheal suctioning. This procedure should be prioritized as it is essential for maintaining the client's airway patency and preventing respiratory complications. Endotracheal suctioning helps remove secretions that may obstruct the airway and impede oxygenation. Failure to perform this procedure promptly can lead to respiratory distress or compromise the client's breathing. Urinary catheter care (
A), wound irrigation (
B), and enteral feeding (
C) are important aspects of care but do not take precedence over airway management. Prioritizing endotracheal suctioning ensures the client's respiratory needs are addressed first before attending to other care tasks.
Question 5 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action helps ensure that the NG tube is clear and free from any residual formula or medication, preventing potential clogs or interactions. By flushing the tube, the nurse can confirm proper tube placement and avoid any complications.
Choice A is incorrect because combining medications with the formula can lead to drug interactions and compromise the efficacy of the medications.
Choice B is incorrect as diluting medications with warm water may alter their stability and effectiveness.
Choice D is incorrect as mixing medications together in a single syringe can also result in drug interactions and inaccurate dosing.