ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse in a clinic is caring for a middle-aged patient who states, 'The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?'
Correct Answer: B
Rationale: The correct answer is B: You should have a fecal occult blood test every year. This is the recommended screening test for patients at average risk for colon cancer as it can detect blood in the stool, which may indicate the presence of colorectal cancer. Colonoscopy (
Choice
A) is typically recommended starting at age 50 for average-risk individuals. Sigmoidoscopy (
Choice
C) is another screening option, but it is usually done every 5 years, not every 10 years. Getting a blood sample for a screening test (
Choice
D) is not specific to colon cancer screening and may not be as effective as the fecal occult blood test for detecting early signs of colorectal cancer.
Question 2 of 5
A nurse is administering fluids to a client.Which of the following assessments should the nurse identify as the priority when monitoring for adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Auscultate lung sounds. This is the priority assessment when administering fluids as it helps detect fluid overload, a potentially life-threatening adverse effect. Lung sounds can reveal signs of pulmonary edema, such as crackles, indicating fluid accumulation in the lungs. Monitoring urine output (
B) is important but not as immediate as assessing for respiratory distress. Blood pressure readings (
C) and electrolyte levels (
D) are important in assessing fluid status, but they do not provide immediate information on respiratory status.
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 3 of 5
What should the nurse do next?
Correct Answer: A
Rationale: The correct answer is A because asking another nurse to observe the medication wastage ensures accuracy and accountability. This step promotes safe medication practices by having a second set of eyes to verify the process.
Choice B is incorrect because notifying the pharmacy is not necessary at this point.
Choice C may not be appropriate if the medication needs to be documented and witnessed.
Choice D is incorrect as the medication should be wasted properly following protocol.
Extract:
Question 4 of 5
A nurse is assessing an older adult client’s risk for falls.Which assessments should the nurse use to identify the client’s safety needs? (Select all that apply)
Correct Answer: B,C,D
Rationale: The correct assessments for identifying an older adult client's safety needs are appearance of gait, visual fields, and visual acuity. Gait appearance helps determine balance and coordination, crucial for fall risk. Visual fields are important for detecting peripheral vision deficits that can contribute to falls. Visual acuity assesses the client's ability to see clearly, which is essential for navigating obstacles and hazards. Pupil clarity (choice
A) is not directly related to fall risk assessment. The other choices (E, F, G) are not provided, so they cannot be evaluated.
Extract:
A postoperative client refuses to use an incentive spirometer following major abdominal surgery.
Question 5 of 5
What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority action because understanding the client's refusal will help address any underlying issues hindering compliance with treatment, ensuring optimal care. Documenting the refusal (
B) is important but not as immediate as understanding the root cause. Administering pain medication (
C) may be necessary but addressing the refusal first is crucial. The other choices are not relevant to the immediate priority of addressing the client's refusal.