ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake her first action should be to:
Correct Answer: C
Rationale: Checking blood pressure assesses the client’s response to the overdose (e.g. hypotension) prioritizing safety and guiding further actions. Notifying the physician or manager and filing a report are important but follow after ensuring client stability.
Question 2 of 5
The nurse is preparing an Injection of 10 units of regular Insulin and 5 units of NPH insulin from two vials. The nurse should:
Correct Answer: B
Rationale: Injecting air into both vials (NPH first then regular) and withdrawing regular insulin first prevents NPH contamination in the regular insulin vial ensuring accurate dosing. Other sequences risk mixing insulins or incorrect dosing affecting glycemic control.
Question 3 of 5
It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:
Correct Answer: A
Rationale: A filtered needle prevents glass particles from an ampule (broken to access medication) entering the syringe reducing risks of tissue damage or embolism. Mixing medications reconstitution or clear solutions do not inherently produce particles requiring filtration.
Question 4 of 5
The nurse must give a client an intramuscular injection of a medication which is very irritating to the subcutaneous tissues. To attempt to reduce irritation of the tissues which action should the nurse take?
Correct Answer: B
Rationale: The Z-track method prevents leakage of irritating medications into subcutaneous tissues by sealing the needle track reducing irritation and discomfort. Small gauge needles reduce pain not leakage 45-degree angles are for subcutaneous injections and ice does not prevent tissue irritation.
Question 5 of 5
The nurse recognizes ten rights associated with giving medications to clients. Which are included in this group?
Correct Answer: A,B,C
Rationale: The ten rights include right dose (correct amount) documentation (recording administration) and assessment (evaluating appropriateness) ensuring safe medication administration. Prescriber is not a right as it relates to the ordering process not administration.