ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse receives a telephone prescription from the provider,who states Four milligrams of morphine diluted with five milliliters of sterile water intravenously each morning at nine o'clock before client dressing changes.' Which of the following entries by the nurse indicates correct transcription of the prescription?
Correct Answer: B
Rationale: The correct answer is B. B is the correct transcription of the prescription because it accurately states the medication (Morphine), dosage (4 mg), route (IV), frequency (daily at 0900), dilution instructions (5 mL of sterile water), and timing (before dressing changes). Option A incorrectly abbreviates morphine, does not specify the timing, and uses "cc" instead of mL. Option C uses the incorrect abbreviation "cc" and does not specify the timing clearly. Option D uses the incorrect abbreviation "MSO4" and does not specify the timing clearly. Option B provides a clear and accurate transcription of the prescription, ensuring safe administration and avoiding potential medication errors.
Question 2 of 5
A nurse is caring for a client who has chosen a neighbor as their designee in their durable power of attorney for health care. The client is incapacitated and is scheduled for an endoscopy. The nurse should request that which of the following individuals provide consent for the procedure?
Correct Answer: C
Rationale: The correct answer is C: The provider. The provider is responsible for obtaining informed consent for medical procedures. In this case, since the client is incapacitated, the provider should seek consent from a healthcare professional who is caring for the client. The neighbor, the client's spouse, and a member of the facility's ethics committee do not have the authority to provide consent for the procedure. The neighbor may have the durable power of attorney for health care, but that does not automatically grant them the authority to provide consent for specific medical procedures. The spouse may have a say in the client's care, but the provider should seek consent from a healthcare professional. A member of the facility's ethics committee is not directly involved in the client's care and does not have the authority to provide consent for medical procedures.
Question 3 of 5
A nurse is teaching a client about self-administering a subcutaneous injection to the abdomen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Expel the air bubble in a prefilled syringe before injecting the medication. This step is crucial to prevent injecting air into the subcutaneous tissue, which can cause discomfort or harm. By expelling the air bubble, the client ensures they are only administering the intended medication.
A: Selecting an injection site on the abdomen 5 cm from the umbilicus is a generally accepted practice, but it is not the most critical instruction in this scenario.
C: Aspirating prior to injecting the medication is unnecessary for subcutaneous injections as there are no large blood vessels in the subcutaneous tissue.
D: Inserting the needle at a 15° angle is not a standard recommendation for subcutaneous injections, which are typically administered at a 45° or 90° angle.
Question 4 of 5
A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Use an air-assisted transfer device to move the client. This is the safest option when transferring a client who weighs 136 kg (300 lb) as it reduces the risk of injury to both the client and the healthcare providers. Air-assisted transfer devices help in minimizing physical strain and provide a smooth transfer experience.
Moving on to why the other choices are incorrect:
A: Moving the client using a slider board may not provide enough support for a client of this weight, increasing the risk of injury.
C: Raising the bed to 5 cm above the level of the stretcher may not be sufficient to ensure a safe and smooth transfer for a client of this weight.
D: Positioning the head of the bed at 25° prior to the transfer does not directly address the safety concerns associated with transferring a client of this weight.
In summary, using an air-assisted transfer device is the most appropriate and safest option in this scenario.
Question 5 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale:
Correct
Answer: C - Establish mutual learning goals with the client.
Rationale: By establishing mutual learning goals with the client, the nurse can ensure that the teaching plan is tailored to the client's specific needs, preferences, and readiness to make lifestyle changes. This collaborative approach fosters a sense of empowerment and ownership in the client, increasing the likelihood of successful implementation of the teaching plan.
Summary of Other
Choices:
A: Determining what the client knows about coronary artery disease is important but may not be as effective as establishing mutual learning goals in promoting lifestyle changes.
B: Identifying resources is valuable, but without understanding the client's goals and preferences, the resources may not be utilized effectively.
D: Scheduling a teaching session is necessary, but the content and approach may not be as effective without mutual learning goals in place.