ATI Fundamentals Exam Special Unit ADN | Nurselytic

Questions 45

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ATI Fundamentals Exam Special Unit ADN Questions

Question 1 of 5

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 1170

Rationale: The correct answer is 1170 mL.
To calculate this, we convert all the fluid intake to mL: 1 cup = 240 mL, 4 oz = 120 mL, and 3 oz = 90 mL. So, the total intake is 240 (coffee) + 120 (OJ) + 90 (water) + 240 (gelatin) + 240 (tea) + 150 (broth) + 90 (water) = 1170 mL. The other choices are incorrect because they do not accurately convert the fluid intake to mL or do not add up the total correctly. For instance, if you only convert some of the values to mL or make a calculation error, you will get a different total.

Question 2 of 5

The nurse is caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?

Correct Answer: A

Rationale: The correct answer is A: Primary Intention. In a laparoscopic appendectomy, primary intention healing is expected because the incisions are small and closed with sutures, promoting faster healing with minimal scarring. This type of healing involves the edges of the incision being close together, allowing for quicker tissue regeneration and reduced risk of infection. Partial-thickness repair (
B) involves healing of shallow wounds, not typically seen in appendectomy. Secondary intention (
C) is for wounds that are left open to heal from the inside out, which is not the case in this surgery. Tertiary intention (
D) is a delayed closure method used in contaminated or infected wounds, not appropriate for a clean procedure like an appendectomy.

Question 3 of 5

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C: "I will be sure to take the albuterol before taking the cromolyn." This statement indicates an understanding of the teaching because albuterol is a bronchodilator that helps open up the airways quickly, while cromolyn is a mast cell stabilizer that helps prevent asthma attacks. Administering albuterol before cromolyn allows the bronchodilator to work first to relieve symptoms, followed by cromolyn to prevent future attacks. This sequence optimizes the effectiveness of both medications.

Explanation for other choices:
A: Administering the medications 10 minutes apart may not be optimal as albuterol should be taken first for immediate relief.
B: Using both medications immediately after exercising may not be necessary unless the client experiences symptoms.
D: Using cromolyn immediately when feeling tightness is not recommended as it is a preventive medication, not a rescue medication.

Question 4 of 5

A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?

Correct Answer: C

Rationale: The correct answer is C: Uses critical thinking for the highest level of quality nursing care. Critical thinking involves analyzing information objectively, considering multiple perspectives, and making informed decisions. By using critical thinking, the nurse can ensure that clinical decisions are based on sound reasoning and evidence, ultimately leading to the delivery of high-quality nursing care.



Choices A, B, and D are incorrect:
A: Utilizing evidence-based practice based on nurses' needs - This choice focuses on the nurse's needs rather than the patient's needs and does not emphasize critical thinking.
B: Establishes minimal passing standards for testing - This choice is related to educational assessment rather than influencing clinical decisions based on professional standards.
D: Bypasses the patient's feelings to promote ethical standards - Ignoring the patient's feelings contradicts ethical standards and does not involve critical thinking in decision-making.

Question 5 of 5

A nurse caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide to the client's parents on administering the medication?

Correct Answer: A

Rationale: The correct answer is A: Give the medication in the morning daily. Montelukast is a leukotriene receptor antagonist used for asthma maintenance therapy. Administering it daily in the morning helps maintain consistent levels in the body, providing optimal control of asthma symptoms throughout the day. Option B is incorrect because montelukast is not a rescue medication and should not be taken specifically before exercise. Option C is incorrect because montelukast granules should be administered as is, without mixing with water. Option D is incorrect as montelukast is not meant to be used as a rescue medication for acute wheezing episodes.

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