ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 of 5
A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Writing down the complete prescription first ensures accuracy and prevents errors. Reading back, documenting, and obtaining a signature follow to confirm and formalize the order. Verifying allergies is important but occurs after receiving the prescription.
Question 2 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Determining whether the client can afford insulin supplies ensures access to necessary treatment, preventing non-compliance. Other actions (reconciliation form, education materials, specialist contact, follow-up appointment) follow once affordability is confirmed.
Question 3 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: B
Rationale: An occupational therapist specializes in assisting with ADLs, helping the stroke client regain independence in daily tasks. Physical therapists focus on mobility, speech-language pathologists address communication/swallowing, dieticians manage nutrition, and social workers handle psychosocial needs.
Question 4 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Aspirating residual volume every 4 hours ensures the client tolerates feedings and prevents overfeeding or aspiration. Tubing should be changed every 24 hours, flushing requires 30 mL every 4-6 hours, and formula should be at room temperature. Bolus feeding is inappropriate for continuous feedings.
Question 5 of 5
When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Holding the vial with the top upward while injecting air maintains pressure and prevents fluid leakage. Bubbles at the plunger are not relevant, injecting air with the needle in fluid risks contamination, and a 45° angle is for injection, not dosage verification. A filter needle is used for ampules, not vials.