ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse in reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider?
Correct Answer: A
Rationale: Partial thromboplastin time (PTT) 65 seconds: The normal PTT range is typically between 25 to 35 seconds for patients not on anticoagulants. For a patient receiving heparin therapy, the therapeutic PTT range is usually 1.5 to 2.5 times the normal value, which translates to approximately 60 to 100 seconds. A PTT of 65 seconds is at the lower end of the therapeutic range and may require adjustment in dosage or closer monitoring, especially if there are concerns about achieving adequate anticoagulation for the treatment of a pulmonary embolism. It is important to report this value to the provider.
Question 2 of 5
Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
Correct Answer: A
Rationale: Interpersonal: The nurse is engaging in interpersonal communication during the admission health history and physical assessment. This form of communication occurs between two individuals and involves a direct exchange of information.
Question 3 of 5
A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Bend at the knees when picking up an object: This instruction is crucial for preventing back strain. Bending at the knees allows the client to use her legs' strength to lift the object rather than putting pressure on the back. This technique helps protect the spine and promotes safe lifting practices.
Question 4 of 5
A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?
Correct Answer: D
Rationale: Standard precautions are the foundation for infection control practices and are recommended for all patients, regardless of their diagnosis. This includes measures such as hand hygiene, using personal protective equipment (PPE) when necessary, and safe handling of potentially contaminated materials. Since hepatitis C is primarily transmitted through blood and body fluids, standard precautions are appropriate for caring for clients with this condition.
Question 5 of 5
The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?
Correct Answer: A
Rationale: Middle-aged man experiencing the acute phase of myocardial infarction (MI): During the acute phase of an MI, the patient may be experiencing significant physical and emotional stress.
Touch may be perceived as intrusive or overwhelming.