ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed?
Correct Answer: B
Rationale: The correct answer is B: False imprisonment. False imprisonment occurs when a person is unlawfully restrained or confined against their will. In this scenario, the nurse administered a sedative to prevent the client from leaving the hospital, which constitutes a form of restraint or confinement without the client's consent. This action violates the client's right to autonomy and freedom of movement.
A: Assault involves the threat of harm or unwanted physical contact, which is not applicable in this scenario.
C: Negligence is the failure to provide reasonable care, which is not the primary issue in this case.
D: Breach of confidentiality involves disclosing private information without consent, which is not relevant to the situation provided.
Question 2 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.
Question 3 of 5
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30 minutes. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 83
Rationale:
To calculate the correct IV infusion rate in gtt/min, we first need to determine the total drops needed for 250 mL over 30 minutes.
Step 1: Calculate total drops needed per minute
250 mL / 30 minutes = 8.33 mL/min
8.33 mL/min x 10 gtt/mL = 83.3 gtt/min
Step 2: Round down to nearest whole number
83.3 gtt/min rounds down to 83 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 83 gtt/min.
Summary:
Choice A: Incorrect, as it does not match the calculated rate of 83 gtt/min.
Choices B-G: These choices are incorrect as they do not align with the calculated rate based on the given information.
Question 4 of 5
A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse's responsibility when implementing med therapy? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. A indicates understanding of monitoring for side effects, B for therapeutic effects, and E for refusing unsafe meds. These actions align with a nurse's responsibilities in medication administration to ensure patient safety.
Choice C, prescribing dose, is incorrect as nurses do not have prescribing authority.
Choice D, changing dose based on adverse effects, is incorrect as this requires a healthcare provider's order.
Question 5 of 5
A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutynin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all.
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Taking frequent sips of water helps combat dry mouth, a common anticholinergic effect of oxybutynin.
B: Wearing sunglasses protects against photophobia, another potential anticholinergic effect.
E: Urinating prior to taking the medication can help reduce urinary retention, a side effect of oxybutynin.
Incorrect
Choices:
C: Using a soft toothbrush is not directly related to managing anticholinergic effects.
D: Taking the medication with an antacid may interfere with its absorption and is not recommended.