ATI RN
ATI Fundamentals 2023 Retake 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 consent, creating fear in the victim. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, inducing fear in the client. The other choices are incorrect because: B: Defamation involves making false statements that harm one's reputation, C: Invasion of privacy is the intrusion into someone's private affairs without consent, and D: Battery is the actual harmful or offensive contact without consent.
Question 2 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: A
Rationale: The correct answer is A: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action is important to ensure that the NG tube is clear and free of any residual formula or medication, preventing potential clogs or interactions. Flushing the tube with sterile water helps maintain the tube's patency and prevents any obstruction.
Summary of incorrect choices:
B: Mixing medications together in a single syringe can lead to drug interactions and inconsistent dosing.
C: Combining medications with the formula in the feeding bag can alter the medication's effectiveness and may lead to clogs in the tube.
D: Diluting each crushed medication with warm water may not effectively clear the tube and could still lead to clogs or interactions.
Question 3 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E.
A: When removing the medication from the drawer, the nurse ensures the correct medication is being administered.
D: When preparing the dosage, the nurse verifies the medication details before administering it to the patient.
E: Directly before administering the medication, the nurse confirms the medication matches the prescription.
B and C are incorrect because comparing the records and labels should occur before medication is given.
Question 4 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: Answer B is correct because it directly addresses the client's statement about wanting to die, which indicates suicidal ideation. By asking if the client has thought about harming themselves, the nurse is assessing the client's risk of self-harm and can then take appropriate actions to ensure the client's safety.
Answer A is incorrect as it focuses on the medication issue rather than the client's immediate safety. Answer C is incorrect as it shifts the focus away from the client's suicidal thoughts. Answer D is also incorrect as it doesn't address the immediate risk of self-harm and instead suggests discussing the feelings with the provider without assessing the client's safety first.
Question 5 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. This position allows gravity to assist in draining secretions from the left lower lobe of the lung. Trendelenburg position promotes drainage by utilizing gravity to help move secretions towards the larger airways for removal. Side-lying with the right side elevated (
Choice
A) does not provide optimal drainage for the left lower lobe. Supine in low-Fowler's position (
Choice
B) and prone with pillows under the lower extremities (
Choice
C) do not specifically target the left lower lobe for drainage. Right lateral in Trendelenburg position (
Choice
D) is the most effective position for postural drainage in this scenario.