ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client's coping skills. Which of the following should the nurse identify as an internal stressor?
Correct Answer: C
Rationale: Fear of medical test results is an internal stressor originating within the individual as a psychological or emotional response causing anxiety. Peer pressure death of a family member and job transfer are external stressors as they arise from external events or influences rather than internal psychological factors.
Question 2 of 5
A nurse is planning to administer a vaginal suppository to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Remaining supine for 10 minutes ensures proper absorption of the vaginal suppository. Sterile gloves are unnecessary 3-4 cm insertion is correct but not the focus and lateral semi-prone is not ideal compared to supine.
Question 3 of 5
A nurse is setting up a sterile field prior to changing a client's dressing. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the sterile kit on the overbed table above waist level maintains sterility by avoiding contamination from lower surfaces. Opening the flap toward the body turning back to the field when coughing or dropping gauze from 12 inches risks contaminating the sterile field.
Question 4 of 5
A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An air-assisted transfer device reduces friction and strain for heavy clients ensuring safety. Slider boards are less effective for 136 kg bed height adjustment is insufficient and head positioning is irrelevant to the transfer.
Question 5 of 5
A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Calculate: 100 mL ÷ 2 hr = 50 mL/hr rounded to the nearest whole number as the total volume (100 mL) is infused over 2 hours.