ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer to assist the client needing the bedpan. This is the appropriate action for the 2nd nurse to take because patient care and safety should always be the top priority. By offering to help the client in need of assistance onto the bedpan, the 2nd nurse ensures that both clients are attended to promptly and with dignity. This demonstrates professionalism, teamwork, and a patient-centered approach to care.
Summary of other choices:
B: Administer the injection prepared by the other nurse - Incorrect because the 2nd nurse should not administer a medication prepared by someone else without verifying the dose, patient identification, and other important details.
C: Prepare another syringe & administer the injection - Incorrect as it is not within the 2nd nurse's scope of practice to give medications without proper preparation and verification.
D: Tell the client needing the bedpan she will have to wait for her nurse - Incorrect as it disregards the immediate needs of the client and does
Question 2 of 5
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Diarrhea leads to fluid loss, causing dehydration. Hypotension results from decreased blood volume. Fever may indicate infection causing diarrhea. Poor skin turgor is a sign of dehydration. Bradycardia (
A) is unlikely due to dehydration. Peripheral edema (E) is more associated with fluid retention, not dehydration.
Question 3 of 5
A nurse is preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all.
Correct Answer: A,D
Rationale: The correct answers are A (905) and D (840) because they fall within the acceptable timeframe for administering the medication. The general rule for medication administration is usually within 30 minutes before or after the scheduled time.
Choice A (905) is within this range as it is 5 minutes after 0900, and choice D (840) is also within this range as it is 20 minutes before 0900.
Choices B (825) and E (935) are outside the 30-minute window.
Choice C (1,000) is significantly delayed and could potentially affect the medication's effectiveness.
Therefore, choices B, C, and E are incorrect due to being outside the acceptable administration times.
Question 4 of 5
A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. The client has a prescription for preoperative diazepam (Valium). Prior to administering the medication, which of the following actions is the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Identifying the client's medication allergies. Before administering any medication, it is crucial to identify if the client has any allergies to prevent adverse reactions. This step ensures the client's safety and well-being during the surgical procedure. Teaching the client about the medication (choice
A) is important but not as urgent as verifying allergies. Administering the medication (choice
B) can be done after ensuring safety. Documenting anxiety level (choice
D) is important for overall care but not as critical as identifying allergies.
Question 5 of 5
A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Select all.
Correct Answer: A, D
Rationale: Correct Answer Explanation: A nurse should keep the head of the bed elevated at 30 degrees to reduce pressure on the sacrum and coccyx, thus preventing pressure ulcers. Having the client sit on a gel cushion when in a chair helps distribute weight evenly and reduce pressure points. These interventions promote skin integrity by minimizing pressure and friction. Massage of bony prominences can increase the risk of pressure ulcers by causing friction and compromising blood flow. Applying cornstarch can create a moist environment, which can lead to skin breakdown. Repositioning the client at least every 3 hours helps to prevent pressure ulcers by relieving pressure points.