ATI RN
ATI RN Fundamentals Exam 6 Questions
Question 1 of 5
A nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus a 6 oz cup of tea 4 oz of apple juice 8 oz of water 3 oz of flavored gelatin and 6 oz of broth. What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1690
Rationale: The correct answer is 1690 mL.
To calculate, add up all fluid intake items: 880 mL + 180 mL (tea) + 120 mL (apple juice) + 240 mL (water) + 90 mL (gelatin) + 180 mL (broth) = 1690 mL. This is the total fluid intake over 8 hours. The other choices are incorrect because they do not correctly add up the total fluid intake.
Question 2 of 5
The parent of a toddler is concerned that his child has suddenly become disinterested in certain foods. Which of the following statements is the appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C. The rationale is that a sudden disinterest in certain foods in toddlers is common due to their developing taste preferences and is usually a temporary phase. As long as the child appears healthy, there is no need for intervention.
Choice A is incorrect as it promotes feeding anything the child will eat, which may lead to poor nutrition.
Choice B is incorrect as it may unnecessarily alarm the parent.
Choice D is incorrect as increasing calories and water intake without medical advice can be harmful.
Question 3 of 5
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
Correct Answer: B
Rationale:
Correct
Answer: B. "I will cut my nails so they are rounded at the corners."
Rationale: Cutting nails rounded can lead to ingrown nails and potential foot injuries. Nails should be cut straight across to prevent complications in diabetic foot care. This statement indicates a need for further teaching.
Summary:
A: "I will wear cotton socks with my shoes." - Correct, cotton socks help absorb moisture and prevent skin irritation.
C: "I will use a mirror to inspect my feet daily." - Correct, self-inspection is important for early detection of foot issues.
D: "I will buy my shoes late in the afternoon." - Correct, as feet tend to swell during the day, buying shoes later can ensure a better fit and prevent rubbing.
E: - No information provided.
F: - No information provided.
G: - No information provided.
Question 4 of 5
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Select a site distal to previous venipuncture attempts. This is important to prevent complications like phlebitis and infiltration. Choosing a vein distal to previous attempts ensures proper blood flow and reduces the risk of vein damage. Selecting a soft vein (choice
A) may not always be appropriate as it may not offer good stability for the IV. Choosing the most proximal vein (choice
D) can be risky as it may increase the likelihood of nerve injury. Selecting a vein in the dominant arm (choice
B) is not necessary and could limit the client's mobility.
Question 5 of 5
A nurse is preparing to administer carbamazepine to a client who has an NG tube. The provider orders 800 mg each day in two divided doses. Carbamazepine oral suspension is available in 20 mg/mL doses. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 20
Rationale:
Rationale:
To find the mL for each dose, divide the total daily dose by the number of doses. 800 mg ÷ 2 doses = 400 mg per dose. Next, convert 400 mg to mL using the 20 mg/mL concentration of the oral suspension. 400 mg ÷ 20 mg/mL = 20 mL per dose.
Therefore, the nurse should administer 20 mL with each dose. Other choices are incorrect because they do not follow the correct calculation steps or do not round correctly to the nearest whole number.