ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A home health nurse is conducting an admission assessment of an elderly patient who has their caregiver present.
Question 1 of 5
Which observation should the nurse identify as a potential sign of elder abuse?
Correct Answer: C
Rationale: The correct answer is C because a caregiver insisting on staying in the room can be a potential sign of elder abuse, as it may indicate controlling behavior or a desire to monitor interactions. The other choices are less indicative of abuse: A could be related to mobility issues, B may reflect personal hygiene preferences, and D is a common legal arrangement for managing finances.
Extract:
A nurse is about to administer an injection of an opioid medication to a patient. The nurse has drawn 1 mL of the medication from a 2 mL vial.
Question 2 of 5
What should the nurse do next?
Correct Answer: A
Rationale: The correct answer is A because asking another nurse to observe the medication wastage ensures accuracy and accountability. This step promotes safe medication practices by having a second set of eyes to verify the process.
Choice B is incorrect because notifying the pharmacy is not necessary at this point.
Choice C may not be appropriate if the medication needs to be documented and witnessed.
Choice D is incorrect as the medication should be wasted properly following protocol.
Extract:
A nurse is caring for a patient who has a respiratory infection.
Question 3 of 5
What technique should the nurse use when performing nasotracheal suctioning for the patient?
Correct Answer: B
Rationale: The correct answer is B: Apply intermittent suction when withdrawing the catheter. This technique helps prevent mucosal damage and hypoxia by reducing the risk of excessive suction pressure and prolonged suction time. Inserting the catheter while the patient is swallowing (
A) can lead to aspiration. Placing the catheter in a clean and dry location for later use (
C) is incorrect as it can lead to contamination. Holding the suction catheter with the non-dominant hand (
D) is not necessary for effective suctioning.
Extract:
A nurse responds to a call light and finds a patient lying on the bathroom floor.
Question 4 of 5
What should the nurse do first?
Correct Answer: A
Rationale: The nurse should first check the patient for injuries (
Choice
A) because assessing the patient's immediate physical condition is crucial for prioritizing care. This step ensures timely intervention to address any potential life-threatening injuries. Moving hazardous objects (
Choice
B) can wait until the patient's safety is confirmed. Notifying the provider (
Choice
C) can be done after assessing the patient's condition. Asking the patient to describe their feelings prior to the fall (
Choice
D) is important but not as urgent as checking for injuries.
Extract:
A nurse is caring for a patient who has dementia
Question 5 of 5
What intervention should the nurse take to minimize the risk of injury to the patient?
Correct Answer: A
Rationale: The correct answer is A: Use a bed exit alarm system. This intervention helps to prevent patient falls by alerting the nurse when the patient attempts to leave the bed unsafely. It promotes early intervention and reduces the risk of injury. Raising four side rails (
B) may restrict the patient's movement excessively and could lead to entrapment. Applying a soft wrist restraint (
C) may cause discomfort and compromise the patient's circulation. Dimming the lights (
D) does not directly address the risk of injury.