ATI RN
Introduction to Professional Nursing Questions
Question 1 of 5
The physician orders ampicillin (Omnipen), 500 mg by mouth every 6 hours. This medication order is an example of:
Correct Answer: A
Rationale: The correct answer is A: A standard written order. This is because a standard written order specifies the medication, dose, route, frequency, and duration of administration. In this case, the order for ampicillin 500 mg by mouth every 6 hours is clearly outlined and does not specify any special circumstances like a one-time dose or immediate administration (stat order). Additionally, it is not an as-needed order which would only be given based on the patient's symptoms or condition. It also does not qualify as a single order as it is intended to be administered multiple times at specified intervals.
Question 2 of 5
To perform postural drainage on a patient, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because performing postural drainage before the client takes his meal helps prevent aspiration during the procedure. Aspiration can occur if the patient has recently eaten, increasing the risk of food or liquid entering the lungs. Choices A, B, and C are incorrect because drinking water before the procedure, suctioning the patient, or asking about comfort positions are not directly related to preventing aspiration during postural drainage.
Question 3 of 5
The nurse assesses a stage III pressure ulcer. The nurse has observed which of the following?
Correct Answer: B
Rationale: The correct answer is B because a stage III pressure ulcer is characterized by an open wound with subcutaneous tissue exposed. This indicates significant tissue damage, making it a distinguishing feature of a stage III ulcer. Choice A is incorrect because redness that persists when pressure is relieved is indicative of a stage I pressure ulcer. Choice C is incorrect as it describes a stage IV ulcer, not stage III. Choice D is incorrect as it describes a stage II ulcer, not stage III.
Question 4 of 5
A patient on I. V. heparin should have which of the following laboratory values monitored closely to determine whether the therapeutic range is maintained?
Correct Answer: C
Rationale: The correct answer is C: Partial Thromboplastin Time (PTT). PTT measures the effectiveness of heparin as it reflects the clotting time. Monitoring PTT ensures the therapeutic range of heparin is maintained to prevent clotting or bleeding. Hemoglobin (A) monitors anemia, INR (B) is used to monitor Warfarin therapy, and Prothrombin Time (D) is used for monitoring Warfarin therapy, not heparin.
Question 5 of 5
A nurse is caring for an older client who exhibits dehydration-induced confusion. Which intervention by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Increase the IV flow rate to 250 mL/hr. Dehydration-induced confusion requires prompt correction of fluid deficit. Increasing IV flow rate will help rehydrate the client more quickly, addressing the underlying cause of confusion. This intervention is directly related to resolving dehydration. A: Measuring intake and output every 4 hours is important for monitoring fluid balance but will not address dehydration promptly. B: Assessing the client further for fall risk is important but does not directly address the underlying cause of confusion. D: Placing the client in a high-Fowler position can help with respiratory issues but does not directly address dehydration-induced confusion.