Questions 67

ATI RN

ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

Before administering a medication to a client,the nurse must identify the client. Which of the following methods of identification should the nurse use?

Correct Answer: A

Rationale: Asking for name and date of birth (
A) is the standard for accurate client identification. Other choices are unreliable or secondary.

Question 2 of 5

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take?

Correct Answer: A,D,E

Rationale: Keeping the bed low (
A) teaching call light use (
D) and using a fall-risk band (E) reduce fall risk.
Choice B is insufficiently frequent and
Choice C increases risk.

Question 3 of 5

A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Holding the container 30 cm (12 in) above the anus allows for adequate gravitational flow to administer the enema effectively without causing discomfort or injury. This height ensures the solution flows gently into the rectum promoting bowel evacuation.
Choice B involves unnecessary movement and insufficient height for effective flow.
Choice C does not provide the necessary gravitational force and
Choice D lacks specific guidance on height which is critical for the procedure.

Question 4 of 5

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Correct Answer: B

Rationale: Elevated WBC count (
B) indicates infection due to immune response. Other values are not specific to infection.

Question 5 of 5

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

Correct Answer: B

Rationale: 0.45% sodium chloride (
B) is hypotonic helping to dilute excess sodium in hypernatremia. Other solutions may worsen the condition.

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