ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Question 1 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slowly instilling 400 to 500 mL of solution effectively flushes the bladder without overdistension. Clamping the tubing prevents solution flow using a needle is inappropriate and withdrawing solution disrupts the irrigation process.
Question 2 of 5
A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 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 if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Calculate: 100 mL ÷ 2 hr = 50 mL/hr rounded to the nearest whole number as the total volume (100 mL) is infused over 2 hours.
Question 3 of 5
A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Exhaling slowly through pursed lips creates backpressure keeping airways open and improving oxygen exchange in COPD. Lying down restricts lung expansion inhaling through pursed lips is incorrect and puffing cheeks is ineffective.
Question 4 of 5
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake helps prevent dehydration which is a common concern when a client has a fever. Adequate hydration supports the body's ability to regulate temperature and maintain overall health. Maintaining the environmental temperature at 16°C to 18°C is too cold and can cause discomfort or shivering which may increase the client's metabolic rate and worsen the fever. Immersing the client in cold water is not recommended as it can cause shock and is not an effective or safe method for reducing fever. Assisting the client to ambulate is not a priority intervention for managing fever; the focus should be on hydration and comfort.
Question 5 of 5
A nurse is planning to administer a vaginal suppository to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Remaining supine for 10 minutes ensures proper absorption of the vaginal suppository. Sterile gloves are unnecessary 3-4 cm insertion is correct but not the focus and lateral semi-prone is not ideal compared to supine.