ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is caring for a patient in a medical-surgical unit.
The patient’s current diagnoses include type 2 diabetes mellitus and a past medical history of a left below-the-knee amputation 5 years ago.
The nurse is at the patient’s bedside for a dressing change.
The patient’s heart sounds (S1 and S2) are auscultated, with a rate of 76/min. The patient’s respirations are even and regular at 16/min.
The negative pressure wound therapy dressing is removed. Granulation tissue covers the wound bed.
There is slight erythema at the wound edges. The surrounding tissue is warm to touch.
There is no odor present.
The pressure injury is 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point.
There are two tunnels measuring 5 cm (2 in) and 3 cm (1.2 in). The dressing is reapplied and sealed.
The intermittent pressure setting is at 125 mm Hg. The patient reports pain as a 2 on a scale from 0 to 10 and tolerated the procedure well.
Question 1 of 5
Which of the following findings indicate an improvement in the patient's condition?
Correct Answer: A
Rationale: Granulation tissue covering the wound bed is a positive sign of wound healing. It consists of new connective tissue and tiny blood vessels that develop in the wound bed as part of the body's response to injury.
Extract:
A nurse is about to administer an injection of an opioid medication to a patient. The nurse has drawn 1 mL of the medication from a 2 mL vial.
Question 2 of 5
What should the nurse do next?
Correct Answer: A
Rationale: After drawing up the medication, the nurse should ask another nurse to observe the medication wastage. This is a standard procedure for controlled substances like opioids.
Extract:
A nurse is preparing to transfer a patient who can bear weight on one leg from the bed to a chair.
Question 3 of 5
After securing a safe environment, what should the nurse do next?
Correct Answer: C
Rationale: Assessing the patient for orthostatic hypotension is crucial because patients who can only bear weight on one leg may have compromised balance and stability.
Extract:
Question 4 of 5
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Heparin should be administered into the abdominal fat layer, above the iliac crest and at least 2 inches away from the umbilicus. This site ensures proper subcutaneous delivery and minimizes complications.
Extract:
A nurse is providing discharge instructions to a patient who has a new prescription for a home oxygen concentrator.
Question 5 of 5
Which of the following instructions should the nurse provide to the patient and their family?
Correct Answer: A,B,C,D
Rationale:
Choice A: Inspecting the cord prevents electrical hazards.
Choice B: Keeping the unit away from stoves reduces fire risk.
Choice C: A generator ensures continuous oxygen supply.
Choice D: Monitoring for hypoxia ensures patient safety.
Choice E: Synthetic materials increase fire risk and are not recommended.