ATI RN
ATI RN Fundamentals Exam 3 Questions
Question 1 of 5
The nurse is caring for a 96-year-old client who has been admitted for treatment of a urinary tract infection. The nurse notices that the client takes two one-hour naps each day,one mid-morning and the other late afternoon. What intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Do nothing, as no action is necessary in this situation. The rationale behind this is that older adults often have different sleep patterns, and it is common for them to take naps during the day. This is known as polyphasic sleep and is considered normal for many elderly individuals. Trying to keep the client awake during the day or substituting physical therapy for nap times could disrupt the client's natural sleep-wake cycle and potentially lead to sleep deprivation. Asking for a sleeping pill is unnecessary and could increase the risk of adverse effects in an already frail older adult.
Therefore, the best course of action is to respect the client's natural sleep patterns and not intervene unnecessarily.
Question 2 of 5
The nurse wants to evaluate the success of teaching the client a psychomotor skill. The best technique to use to evaluate this type of learning is to have the client:
Correct Answer: D
Rationale: The correct answer is D: perform a return demonstration. This technique is the best way to evaluate psychomotor skill learning because it allows the nurse to directly observe the client's ability to perform the skill. By having the client demonstrate the skill, the nurse can assess their proficiency, accuracy, and technique. This hands-on approach provides concrete evidence of the client's understanding and mastery of the skill.
A: Answering oral questions may assess cognitive understanding but does not evaluate the client's ability to perform the skill.
B: Joining a discussion group focuses on verbal communication and sharing knowledge, not on demonstrating physical skills.
C: Answering a written test evaluates theoretical knowledge but does not assess practical application of the skill.
Overall, performing a return demonstration is the most effective method to evaluate psychomotor skill learning.
Question 3 of 5
The nurse has finished providing a tube feeding to a client. What should the nurse document about this procedure? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: The correct answers for this question are A, C, D, and E. A should be documented to ensure the solution provided matches the prescribed amount. C is crucial to monitor client tolerance and potential adverse reactions. D is essential to track the exact amount administered for accurate monitoring. E is important to ensure the feeding duration aligns with the prescribed regimen.
Choice B is not necessary for documenting the procedure itself.
Choices F and G are not provided, but if they were, they would likely be incorrect as they are not directly related to the specifics of the tube feeding procedure.
Question 4 of 5
A nurse discovers that the physician has prescribed a higher than recommended dose of a medication for a client. Which is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Call the prescribing physician to clarify the order. This is the most appropriate action because it ensures patient safety by confirming the correct dosage directly with the physician. Giving the higher dose (
A) could harm the client. Holding the dose and documenting (
B) is a good step but does not address the issue directly. Calling the pharmacy (
C) is not the best course of action as the error lies with the physician. In summary, option D allows for direct clarification and correction of the prescription error, prioritizing patient safety.
Question 5 of 5
A nurse is assessing abdominal vascular sounds (bruits) on a client. Which abbreviation(s) describe(s) the quadrants where the renal arteries are located? (SELECT ALL THAT APPLY)
Correct Answer: A,D
Rationale: The correct answer is A and D. The renal arteries are located in the upper abdomen, specifically in the right upper quadrant (RUQ) and left upper quadrant (LUQ). These are the areas where the kidneys are anatomically positioned. The hypogastric region is located in the lower abdomen and does not house the renal arteries. The lower left quadrant (LLQ) and lower right quadrant (RLQ) are also located in the lower abdomen, away from the renal arteries. In summary, the RUQ and LUQ are the correct quadrants for the renal arteries, making options A and D the appropriate choices.