ATI RN
ATI RN Fundamentals Exam 6 Questions
Question 1 of 5
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Eye exams are generally recommended more frequently especially for older adults to monitor for age-related changes and conditions. Women should have a clinical breast examination every year in addition to mammograms as recommended by their healthcare provider. Both men and women should have a colonoscopy periodically depending on individual risk factors and age. Regular hearing screenings are important for older adults especially as age-related hearing loss may occur. Testicular self-exams are recommended for men to detect any abnormalities early on.
Question 2 of 5
A nurse is caring for a client who had a cerebrovascular accident and is at risk for falls. The nurse should recognize that which of the following is an appropriate safety precaution?
Correct Answer: A
Rationale: Monitoring the client at least once every hour is an appropriate safety precaution to assess the client's condition and prevent falls. Assigning the client to a private room may not directly address the risk of falls and may not be necessary for fall prevention. Requesting a PRN prescription for restraints should not be the first line of defense for fall prevention and should only be considered when other interventions are ineffective or inappropriate. Keeping four side rails up while the client is in bed can be a restraint and may increase the risk of injury. It is not a recommended approach for fall prevention.
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: Wearing cotton socks is appropriate as they allow for better air circulation. Cutting nails rounded at the corners can lead to ingrown toenails which is not recommended for individuals with diabetes. Using a mirror for daily foot inspection is a good practice to identify any issues early. Buying shoes late in the afternoon accounts for any swelling that may occur during the day which is a suitable practice for individuals with diabetes.
Question 4 of 5
A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?
Correct Answer: D
Rationale: Placing one crutch on each side when assuming a sitting position is not the correct technique. The client should use both crutches on one side to provide support when sitting or rising. Placing weight on the axillae when walking can cause nerve damage and is an incorrect crutch-walking technique. The client should bear weight on the hands and arms not the axillae. Moving the unaffected leg onto a step first when descending stairs is a correct and safe technique for using crutches on stairs. Having slightly flexed elbows when ambulating with crutches is a proper technique for maintaining balance and support while walking.
Question 5 of 5
A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero is applicable. Do not use a trailing zero.)
Correct Answer: 150
Rationale: The formula for the infusion rate is: (volume in mL / time in hours) x drop factor in gtts/mL = infusion rate in gtts/min. The drop factor is usually given on the IV tubing package and varies depending on the type of tubing used. For this question we can assume a drop factor of 15 gtts/mL which is common for macrodrip tubing. Plugging in the numbers we get: (1200 mL / 8 hr) x 15 gtts/mL = 2250 gtts/hr.
To convert from gtts/hr to mL/hr we divide by the drop factor: 2250 gtts/hr / 15 gtts/mL = 150 mL/hr.
Therefore the nurse should set the IV pump to deliver 150 mL/hr.