ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The nurse caring for clients recognizes that there are several areas of potential liability in nursing practice. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Transferring without a report documenting unverified vital signs and using faulty equipment (frayed cord) pose liability risks due to potential errors or harm. Routine tasks like assessments or physician calls are not inherently risky unless done improperly.
Question 2 of 5
The nurse is caring for a 96-year-old client who has been admitted for treatment of a urinary tract infection. The nurse notices that the client takes two one-hour naps each day,one mid-morning and the other late afternoon. What intervention should the nurse implement?
Correct Answer: D
Rationale: Napping is a normal and beneficial behavior for older adults especially a 96-year-old and does not require intervention unless it disrupts nighttime sleep or daily activities. Encouraging wakefulness substituting therapy or prescribing sleep aids are unnecessary without evidence of a problem.
Question 3 of 5
The nurse is caring for a client receiving an intravenous medication that is a vesicant. The IV flow has stopped and there is pain,burning and swelling at the IV site. What action should the nurse take first?
Correct Answer: B
Rationale: For a vesicant medication causing pain burning and swelling (indicating extravasation) the first action is to immediately remove the catheter to prevent further tissue damage. Elevation keeping the catheter or applying a compress are secondary steps after stopping the infusion.
Question 4 of 5
A nurse discovers that the physician has prescribed a higher than recommended dose of a medication for a client. Which is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: Calling the prescribing physician to clarify a higher-than-recommended dose is the most appropriate action to ensure patient safety and resolve potential errors. Administering a different dose holding without clarification or contacting the pharmacy first bypasses direct communication with the prescriber.
Question 5 of 5
A client requires a medication immediately. Which abbreviation would be written in the physician's order for this medication?
Correct Answer: A
Rationale: STAT meaning "immediately" or "at once is used in medical orders to indicate that a medication should be administered without delay. PRN (as needed") indicates administration based on patient symptoms TID ("three times a day") and QID ("four times a day") refer to scheduled dosing intervals none of which imply immediate administration.