ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
A patient is ordered to receive an intravenous infusion of 3,000 cc 0.8% NaCl over 24 hours. The nurse observes that the rate is 150 cc/hr. If the infusion runs continuously at this rate, the nurse would expect the infusion to be completed in:
Correct Answer: B
Rationale: To calculate the total time for the infusion, you divide the total volume (3,000 cc) by the infusion rate (150 cc/hr). 3000 cc ÷ 150 cc/hr = 20 hours. Therefore, the correct answer is B: 20 hours. Choice A (12 hours) is incorrect as it underestimates the time needed. Choice C (24 hours) is incorrect as it is the total duration of the infusion, not the time to complete it. Choice D (50 hours) is incorrect as it overestimates the time required.
Question 2 of 5
What is the priority of care after the urinary catheter is removed?
Correct Answer: C
Rationale: The correct answer is C because after urinary catheter removal, priority is to evaluate the client for normal voiding to ensure proper bladder function. Encouraging fluid intake (A) is important for hydration. Documenting catheter size and client tolerance (B) is relevant but not a priority post-catheter removal. Documenting client teaching (D) is important but not the immediate priority.
Question 3 of 5
The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal?
Correct Answer: B
Rationale: The correct answer is B: Urine pH of 3.0 is abnormal. Normal urine pH ranges from 4.6 to 8.0. A pH of 3.0 indicates highly acidic urine, which may be indicative of certain health conditions. Specific gravity of 1.03 is within the normal range (1.005-1.030). Absence of protein and glucose in urine is normal. Proteinuria and glucosuria are typically abnormal findings.
Question 4 of 5
When admitting a patient with stage 3 pressure injuries on both heels, which information obtained by the nurse will have the most impact on wound healing?
Correct Answer: B
Rationale: The correct answer is B because oral hypoglycemic agents are important in managing blood sugar levels. High blood sugar can impair wound healing and increase the risk of infection. Controlling blood sugar levels is crucial for optimal wound healing. A: The duration of injury does not directly impact wound healing compared to managing underlying conditions. C: Pain management is important but does not directly affect wound healing. D: Keloids are unrelated to pressure injuries and do not impact wound healing.
Question 5 of 5
The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Administer high-ceiling (loop) diuretics. In fluid overload, loop diuretics help the body eliminate excess fluid rapidly, which is a priority intervention. Assessing lung sounds (B) is important but not as urgent as addressing the fluid overload. Placing a pressure-relieving overlay (C) is not directly related to managing fluid overload. Weighing the client daily (D) is important for monitoring fluid status but does not address the immediate need for fluid removal.