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: The correct answer is Client 3. The rationale is to prioritize based on the urgency of the clients' conditions. Client 3 should be assessed first because the urgency of their condition is likely higher compared to the others. Assessing Client 3 first ensures that any critical issues are addressed promptly, potentially preventing further deterioration. Clients 1, 2, 4, and 5 may have important needs but are not as urgent as Client 3. Client 6 is not listed, so it is not a relevant option.
Therefore, by prioritizing the assessment of Client 3, the nurse can provide timely and appropriate care to the most critical patient.
Extract:
Question 2 of 5
Which of the following items should be recorded as 120 mL of fluid in the client's intake and output record?
Correct Answer: C
Rationale: The correct answer is C: 8 oz of ice chips. In clinical settings, fluids are typically measured in milliliters. 1 oz is approximately 30 mL, so 8 oz of ice chips would be equivalent to 240 mL of fluid. Ice chips are considered a liquid at room temperature and will eventually melt into liquid form, contributing to the client's fluid intake.
Choices A, B, and D are incorrect because they are not equivalent to 120 mL of fluid.
Choice A, 2 cups of soup, is approximately 480 mL.
Choice B, 1 quart of water, is approximately 946 mL.
Choice D, 6 oz of tea, is equivalent to 180 mL.
Therefore, the most accurate option is C based on the given measurement.
Question 3 of 5
A nurse is educating an older adult client at risk for osteoporosis on starting a regular physical activity program. Which type of activity should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Walking briskly. Brisk walking is a weight-bearing, low-impact exercise that helps improve bone density and reduce the risk of osteoporosis in older adults. Weight-bearing exercises stimulate bone formation and strengthen bones. Riding a bicycle (
B) is not weight-bearing and may not have the same bone-strengthening benefits. Isometric exercises (
C) focus on muscle contraction without movement and do not provide the necessary impact for bone health. High-impact aerobics (
D) can be too intense and risky for older adults at risk for osteoporosis, potentially increasing the risk of fractures.
Extract:
A nurse is planning a teaching session for a group of adolescents who each recently had an ostomy surgically placed.
Question 4 of 5
Which of the following methods should the nurse use as a psychomotor approach to learning?
Correct Answer: D
Rationale: The correct answer is D: Role play. Role play is a psychomotor approach to learning because it involves physical movement and practice of real-life scenarios, enhancing hands-on skills and muscle memory. It allows learners to actively participate, engage in problem-solving, and apply theoretical knowledge to practical situations. Group discussions (
A) focus on cognitive learning through dialogue. Query answer meetings (
B) involve verbal exchanges rather than physical actions. Practice sessions (
C) may involve repetition but lack the interactive and immersive nature of role play.
Extract:
Nurses’ Notes
• The client reports a sudden onset of chest tightness and difficulty breathing starting approximately 30 minutes ago.
• The client is anxious and visibly distressed, clutching her chest intermittently.
• She has a history of hypertension and diabetes, which are being managed with medication.
• On examination, the client is sitting upright and appears to be in moderate respiratory distress.
• The client mentions feeling lightheaded and reports a slight headache.
• She is sweating profusely and her skin is pale.
• The client denies any recent physical exertion or known exposure to irritants.
Vital Signs
• Temperature: 37.2°C (99.0°F)
• Heart Rate: 104 beats per minute
• Respiratory Rate: 22 breaths per minute
• Blood Pressure: 158/92 mmHg
Physical Examination Results
• The client’s lungs exhibit bilateral wheezing and crackles upon auscultation.
• There is no visible swelling or edema in the extremities.
• The client has a dry cough that is intermittent.
• No cyanosis is noted around the lips or extremities.
• The client’s skin is cool and clammy.
• The client appears slightly disoriented when asked questions.
• There is no sign of trauma or injury.
Question 5 of 5
A 45-year-old female client is admitted to the emergency department with complaints of sudden shortness of breath and chest tightness. She has a history of hypertension and diabetes.Exhibits:A nurse is assessing the client at 0700 hrs. Which of the following actions should the nurse take first? A Initiate a cardiac enzyme panel
Correct Answer: D
Rationale: The correct answer is D: Obtain an electrocardiogram (ECG). The client's symptoms of sudden shortness of breath and chest tightness, along with her history of hypertension and diabetes, raise concerns for a possible cardiac event such as a heart attack. An ECG is crucial for promptly identifying any cardiac abnormalities and guiding further treatment. It provides valuable information on the heart's electrical activity, helping to assess for signs of ischemia or arrhythmias. Initiating a cardiac enzyme panel (choice
A) may be necessary later but obtaining an ECG takes priority for immediate assessment. Starting IV fluid therapy (choice
B), providing pain relief medication (choice
C), performing a comprehensive physical assessment (choice E) are important interventions but obtaining an ECG is the most urgent action to rule out a cardiac emergency in this scenario.