ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain nausea and vomiting for the past 2 days. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Palpating the abdomen may exacerbate pain or cause discomfort and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus which can contribute to the client's symptoms. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.
Question 2 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.
Question 3 of 5
A home health nurse is teaching a client who has diabetes mellitus about proper home disposal of syringes. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Putting the cap on the syringe before placing it in a trash can helps ensure safe disposal and reduces the risk of needlestick injuries. Placing the syringe in a metal coffee can with a lid is not a recommended method for home disposal. Using a resealable bag may not provide sufficient protection and it may pose risks to individuals handling the trash. Breaking the needle off the syringe is not a safe method for disposal and increases the risk of needlestick injuries.
Question 4 of 5
A nurse is assessing a client's lower extremities and notes 6 mm pitting edema. Which of the following is appropriate documentation of this assessment finding?
Correct Answer: C
Rationale: 1+ pitting edema is mild with a slight indentation. 4+ pitting edema is severe with a deep indentation that lasts a long time. 3+ pitting edema is moderate with a deeper indentation that takes some time to rebound. 2+ pitting edema is moderate with a slight indentation that rebounds fairly quickly.
Question 5 of 5
A nurse is preparing to administer carbamazepine to a client who has an NG tube. The provider orders 800 mg each day in two divided doses. Carbamazepine oral suspension is available in 20 mg/mL doses. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 20
Rationale:
To calculate the amount of carbamazepine oral suspension needed for each dose divide the total daily dose by the concentration of the suspension and then by the number of doses per day. 800 mg / 20 mg/mL / 2 = 20 mL. The nurse should administer 20 mL of carbamazepine oral suspension with each dose.