ATI RN Fundamentals
with Actual Exam
A nurse is preparing to administer an injection of an opioid medication to a client. The
nurse draws out 1 mL of
... [Show More] the medication from a 2 mL vial. Which of the following actions
should the nurse take? - -------- Correct Answers ----------Correct:
Ask another nurse to observe the medication wastage.
A second nurse must witness the disposal of any portion of a dose of a controlled
substance.
Also:
Pharmacies do not require notification of the disposal of a portion of a dose of a
controlled substance.
The nurse should not lock the remaining controlled substance in the cabinet because
this is a violation of the Controlled Substances Act.
The nurse should not dispose of the remaining controlled substance in the sharps
container because this is a violation of the Controlled Substances Act.
A nurse is educating a client who has a terminal illness about her request to decline
resuscitation in her living will. The client asks what would happen if she arrived at the
emergency department and had difficulty breathing. Which of the following responses
should the nurse provide? - -------- Correct Answers ----------"We would give you oxygen
through a tube in your nose."
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 is the nurse's
priority action? - -------- Correct Answers ----------Determine the reasons why the client is
refusing to use the incentive spirometer.
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.
BUT:
If other interventions to promote the client's use of the incentive spirometer are
unsuccessful, the nurse must document the client's refusal; however, this is not the
priority action for the nurse to take [Show Less]