ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
An advantage of delegation in client care is that:
Correct Answer: B
Rationale: Delegation allows tasks to be assigned based on team members’ skills (e.g. RNs for assessments UAPs for vital signs) improving efficiency and care quality. Overtime prediction is unrelated effective delegation does not reduce client attention and it reduces not increases nurse pressure.
Question 2 of 5
In order to minimize discomfort when giving an injection to a client the nurse should:
Correct Answer: A
Rationale: Spreading the skin taut reduces discomfort by minimizing needle puncture sensation and stabilizing the tissue for smoother insertion. Applying heat is not standard holding the syringe still ensures accuracy not comfort and blood return checks are for specific injections not pain reduction.
Question 3 of 5
A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (Select all that apply)
Correct Answer: B,D,E
Rationale: Restricting sodium reduces hypernatremia by lowering sodium intake monitoring vital signs detects fluid balance changes such as blood pressure or pulse alterations and tracking intake/output assesses fluid status to ensure proper hydration. Encouraging potassium-rich foods is unrelated to sodium levels and decreasing water intake worsens hypernatremia by concentrating sodium further risking dehydration and complications like seizures.
Question 4 of 5
The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:
Correct Answer: A
Rationale: Restlessness confusion and tachycardia are early hypoxia signs as the body compensates for low oxygen by increasing alertness and heart rate. Bradycardia cyanosis hypotension and lethargy indicate advanced hypoxia while vomiting is unrelated.
Question 5 of 5
The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems which is the preferred site for the injection?
Correct Answer: C
Rationale: The ventrogluteal site is preferred for IM injections in adults due to its safety (avoids sciatic nerve) and vascularity accommodating 2 mL comfortably. Deltoid is less suitable for larger volumes dorsogluteal risks nerve injury and vastus lateralis is preferred in infants.