ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A home health care nurse is conducting a fall risk assessment for a client who has osteoarthritis and lives alone. The nurse should identify that which of the following factors creates a risk for falls?
Correct Answer: D
Rationale: Throw rugs on hardwood floors pose a tripping hazard especially for those with mobility issues like osteoarthritis. Furniture and bedside tables are less risky and raised toilet seats aid mobility not increase fall risk.
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 caring for a postoperative client and observes evisceration of the abdominal surgical wound. After covering the wound with a sterile,saline-soaked dressing which of the following actions should the nurse take?
Correct Answer: C
Rationale: Preparing the client for emergency surgery is critical as evisceration is a surgical emergency requiring immediate intervention to repair the wound and secure exposed organs. Lying flat may increase pressure on organs increasing risk. Increasing fluid intake is not a priority in this acute situation. Applying pressure could damage exposed organs and is contraindicated.
Question 4 of 5
A home health care nurse is conducting a fall risk assessment for a client who has osteoarthritis and lives alone. The nurse should identify that which of the following factors creates a risk for falls?
Correct Answer: D
Rationale: Throw rugs on hardwood floors pose a tripping hazard especially for those with mobility issues like osteoarthritis. Furniture and bedside tables are less risky and raised toilet seats aid mobility not increase fall risk.
Question 5 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.