ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a 1-year-old child. Which of the following disorders should the nurse suspect? Which disorder should the nurse suspect in a 1-year-old?
Correct Answer: B
Rationale: Wilms tumor is a kidney cancer common in young children, most likely at age 1. Other disorders are less age-specific.
Question 2 of 5
A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse's response be? How does albuterol aid breathing?
Correct Answer: B,C
Rationale: Albuterol prevents wheezing and opens airways by relaxing muscles, not reducing cough, stimulating mucus, or reducing inflammation.
Question 3 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? Which statement indicates a need for HIPAA teaching?
Correct Answer: D
Rationale: Disclosing information to family without consent violates HIPAA. Other statements are correct.
Question 4 of 5
A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?
Correct Answer: C
Rationale: Moistened sterile gauze protects the bowel until surgery. Reinserting, flat positioning, or side positioning are inappropriate.
Extract:
Medication Administration Record
• 1700: Dextrose 5% in 0.45% sodium chloride (D5/0.45% NaCl) at 100 mL/hr
• 1700: Promethazine 25 mg IV bolus every 4 hours PRN for nausea/vomiting
• 1715: Morphine 4 mg IV bolus every 6 hours PRN for pain
• 2115: Acetaminophen 625 mg PO every 6 hours PRN if temperature > 38.6°C (101.5°F)
• Discontinue Morphine (Note: The morphine has not yet been administered as the order is due in the future.)
Nurses' Notes
The client was received from the Post Anesthesia Care Unit (PACU) with initial vital signs recorded. The client is drowsy but arouses to verbal stimuli and is oriented to person, place, and time. The client is able to move all extremities and follow simple commands.
The heart rhythm is normal sinus, bilateral radial and pedal pulses are +2, and capillary refill is less than 2 seconds. Respiratory rate is 18/min with clear lung sounds and oxygen saturation of 96% on 2 L via nasal cannula. Bowel sounds are hypoactive in all four quadrants. The indwelling urinary catheter is draining clear yellow urine. The dressing on the right knee is dry and intact, with no drainage noted.
At 1830, the client was repositioned for comfort with side rails up x2 and the call light within reach. The client remains somewhat lethargic but arouses easily and reports nausea and pain, rating the pain as 6 on a scale from 0 to 10. Metoclopramide 10 mg IV was administered at 1830 for nausea. The client is positioned comfortably with the side rails up and call light within reach.
Physical Examination
• Heart Rate: 88/min
• Respiratory Rate: 18/min
• Blood Pressure: 115/55 mm Hg
• Temperature: 36.4°C (97.5°F)
• Oxygen Saturation: 96% on 2 L via nasal cannula
• General Behavior: Drowsy but arouses easily, somewhat lethargic
• Pain Level: Rated as 6 on a scale from 0 to 10
• Bowel Sounds: Hypoactive in all four quadrants
• Urinary Output: Clear yellow urine from indwelling catheter
• Knee Dressing: Dry and intact with no drainage
Question 5 of 5
A nurse is caring for a client who is 6 hours postoperative following a right knee arthroplasty. The client has been receiving medications and fluids as outlined below.Exhibits Complete the following sentence by selecting the most appropriate action from the choices below: The nurse should first:---------------------,followed by--------------------------------------
Correct Answer: A,B
Rationale: Morphine for pain level 6 is priority, followed by repositioning for comfort. Restraints are not indicated.