ATI RN
ATI Fundamentals Proctored Exam
1. When caring for a client who speaks a language different from their own, what action should the nurse take?
- A. Request an interpreter of a different sex from the client.
- B. Request a family member or friend to interpret information for the client.
- C. Direct attention toward the interpreter when speaking to the client.
- D. Review the facility policy about the use of an interpreter.
Correct answer: D
Rationale: When caring for a client who speaks a different language, it is essential for the nurse to review the facility policy about the use of an interpreter. Using a professional interpreter ensures accurate communication and protects the client's confidentiality. Requesting an interpreter of a specific sex or relying on family members or friends can lead to miscommunication or breaches of confidentiality. Directing attention towards the interpreter helps facilitate communication but does not address the need for a professional interpreter as per facility policy.
2. During a shift change, a nurse is receiving a report for an adult female client who is postoperative. Which of the following client information should the nurse report?
- A. High platelets
- B. Hypertension
- C. Lower platelets
- D. High temperatures
Correct answer: C
Rationale: Lower platelets can indicate a potential risk of bleeding in a postoperative client. Thrombocytopenia, or low platelet count, can lead to increased bleeding tendencies and should be promptly reported to the healthcare team for appropriate management. Monitoring platelet levels is crucial in postoperative care to prevent complications related to inadequate clotting ability.
3. A client with fibromyalgia requests pain medication. Which of the following medications should the nurse administer?
- A. Pregabalin
- B. Lorazepam
- C. Colchicine
- D. Codeine
Correct answer: A
Rationale: Pregabalin is commonly used to manage pain associated with fibromyalgia. It works by reducing the number of pain signals sent out by damaged nerves. Lorazepam is a benzodiazepine used for anxiety, not pain management. Colchicine is primarily used for gout treatment, and codeine, while an analgesic, is not typically the first-line choice for fibromyalgia pain due to its potential for side effects and misuse.
4. A healthcare professional realizes that the wrong medication has been administered to a client. Which of the following actions should the healthcare professional take first?
- A. Notify the provider.
- B. Report the incident to the healthcare facility's manager.
- C. Monitor vital signs.
- D. Fill out an incident report.
Correct answer: C
Rationale: In a situation where the wrong medication has been administered to a client, the immediate priority is to assess and monitor the client's vital signs to identify any adverse effects of the incorrect medication. This action takes precedence over notifying the provider, reporting the incident, or filling out an incident report. Monitoring vital signs allows for timely recognition and intervention if the client experiences any negative reactions to the wrong medication, ensuring their safety and well-being.
5. A healthcare professional is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the healthcare professional make in the medical record?
- A. Morphine 3 mg Subcutaneous every 4 hr. PRN for pain.
- B. Morphine 3 mg Subcutaneous
- C. Morphine 3.0 mg subcutaneously every 4 hr. PRN for pain.
- D. Morphine 3 mg Subcutaneous q 4 hr. PRN for pain.
Correct answer: D
Rationale: The correct entry for documenting the prescription for morphine is 'Morphine 3 mg Subcutaneous'. This entry accurately specifies the medication, dosage, route of administration, and frequency as prescribed by the provider. Options A, C, and D contain minor errors such as missing units of measurement or incorrect abbreviations, which could lead to misinterpretation or potential medication errors. Therefore, the most appropriate and accurate choice is 'Morphine 3 mg Subcutaneous'.
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