ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Nurses’ Notes
Client 1: The client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: The client has a history of hyperlipidemia. Atorvastatin 20 mg PO was administered as prescribed.
Client 3: The client is 1 day postoperative. The client reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous was administered as prescribed.
Client 4: The client is admitted with a new diagnosis of heart failure.
Client 5: The client has a stage 2 pressure injury on the left heel.
Client 6: The client is admitted with a new diagnosis of diabetes mellitus.
Question 1 of 5
A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions.Exhibits:Based on the Nurses’ Notes, which client should the nurse assess first? Please select the correct client number from the choices below:
Correct Answer: C
Rationale: Client 3 is 1 day postoperative and reports pain as 8 on a scale of 0 to 10, even after Morphine 5 mg subcutaneous was administered as prescribed. This indicates that the client's pain is not well controlled and could be a sign of complications.
Therefore, immediate assessment is required. This client should be the nurse's highest priority.
Extract:
A client in the emergency department reports abdominal pain and has not had a bowel movement for the past 7 days.
Question 2 of 5
Based on the client's clinical findings, which action should the nurse take?
Correct Answer: C
Rationale: Administering a cleansing enema is the correct action. The client has not had a bowel movement for the past 7 days and reports abdominal pain.
Extract:
Question 3 of 5
A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The nurse should ensure that two fingers can fit under the sleeves to ensure they are not too tight, which could impede blood flow and cause discomfort or injury.
Question 4 of 5
A nurse is administering an otic medication to an older adult patient. Which of the following actions should the nurse take to ensure the medication reaches the inner ear?
Correct Answer: A
Rationale: Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear by facilitating its movement through the ear canal.
Question 5 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: If a patient with a living will arrived at the emergency department with difficulty breathing, the healthcare team would provide immediate care to ease the patient's distress, such as administering oxygen, which is a non-invasive comfort measure.