ATI RN fundamentals Practice Assessment (Top 2024/2025 EXAM REVIEW DOC )

ATI RN fundamentals Practice Assessment A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? 1. Ask another nurse to observe the medication wastage 2. Notify the pharmacy when wasting the medication 3. Lock the remaining medication in the controlled substances cabinet 4. Dispose of the vial with the remaining medication in sharps container - 1. Ask another nurse to observe the medication wastage rationale: A second nurse must witness the disposal of any portion of a dose of a controlled substance A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number). - 107 mL/hr rationale: 750/7 = 107 mL/hr A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses should the nurse make? 1. "We would consult the person appointed by your health care proxy to make decisions" 2. "We would give you oxygen through a tube in your nose" 3. "You would be unable to change your previous wishes about your care" 4. "We would insert a breathing tube while we evaluate your condition" - 2. "We would give you oxygen through a tube in your nose" rationale: Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? 1. Request that a respiratory therapist discuss the technique for incentive spirometry with the client 2. Determine the reasons why the client is refusing to use the incentive spirometer 3. document the client's refusal to participate in health restorative activities 4. Administer a pain medication to the client - 2. Determine the reasons why the client is refusing to use the incentive spirometer. rationale: The first action the nurse should take when using the nursing process is to assess the client; therefore, the priority action for the nurse to take is to determine why the client is refusing the treatment A nurse on a medical-surgical unit is caring for a client for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? 1. Pad the client's wrist before applying the restraints 2. Evaluate the client's circulation every 8 hours after application 3. Remove the restraints every 4 hours to evaluate the client's status 4. Secure the restraint ties to the bed's side rails - 1. Pad the client's wrist before applying the restraints rationale: The use of restraints without padding can abrade the client's skin, resulting in client injury A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? 1. "You would have so much more time to spe