ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
Correct Answer: C
Rationale: The correct answer is C. The client's statement about breathing faster to keep their mind off the pain indicates understanding of distraction techniques taught preoperatively. This method helps manage pain perception.
Choices A and B suggest incorrect self-medication adjustments.
Choices D and E do not demonstrate understanding of pain management strategies.
Question 2 of 5
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. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 107
Rationale:
To calculate the infusion rate, divide the total volume (750 mL) by the total time in hours (7 hr). This gives 107.14 mL/hr, rounded to 107 mL/hr. This ensures the correct administration of the solution over the specified time. Other choices are incorrect as they do not result from the correct calculation method, leading to incorrect infusion rates and potentially affecting patient outcomes.
Question 3 of 5
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Insert the catheter at a 45-degree angle. When inserting a peripheral IV catheter for an older adult client, the nurse should aim to insert the catheter at a 45-degree angle to reduce the risk of complications such as infiltration. Inserting at this angle helps to ensure proper placement in the vein and reduces the likelihood of the catheter slipping out or causing discomfort to the client. Placing the client's arm in a dependent position (
B) is not necessary and could potentially cause unnecessary discomfort. Shaving excess hair from the insertion site (
C) is not recommended as it can irritate the skin and increase the risk of infection. Initiating IV therapy in the veins of the hand (
D) may not be the best choice for an older adult client due to potential fragility of hand veins and difficulty with vein accessibility.
Question 4 of 5
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?
Correct Answer: D
Rationale: The correct answer is D: "Is your pain sharp or dull?" This question helps the nurse determine the characteristic of the pain, which is crucial in identifying the underlying cause. Sharp pain is often associated with acute conditions like nerve irritation, whereas dull pain may indicate musculoskeletal issues.
Choices A, B, and C are important in pain assessment but do not specifically address the quality of pain. Asking about pain intensity (choice
B) or radiation (choice
C) can provide valuable information but do not directly address whether the pain is sharp or dull.
Therefore, option D is the most appropriate for assessing the quality of the client's pain in this scenario.
Question 5 of 5
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?
Correct Answer: C
Rationale: The correct answer is C: Decrease in heart rate. Administering 0.9% sodium chloride would help rehydrate the client, leading to an increase in blood volume and improved cardiac output. As a result, the heart doesn't have to work as hard, leading to a decrease in heart rate, indicating successful treatment.
Incorrect choices:
A: Increase in hematocrit - This would indicate dehydration, not successful treatment.
B: Increase in respiratory rate - This could be a sign of respiratory distress, not related to fluid volume correction.
D: Decrease in capillary refill time - This could indicate improved peripheral circulation, but not a direct indicator of successful fluid resuscitation.