ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Respiratory rate 7/min (
A) indicates opioid-induced respiratory depression, a life-threatening priority per ABCs. Bladder (
B), constipation (
C), and pain (
D) are less urgent.
Question 2 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Keeping the collection bag below bladder level (
B) prevents urine backflow, reducing infection risk. Disconnecting (
A) introduces bacteria, catheter size (
C) varies by need, and overfilling (
D) risks backflow.
Question 3 of 5
A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Asking for clarification (
A) shows empathy and explores feelings, aiding therapeutic communication. Volunteering (
B) and hobbies (
C) assume solutions, and health (
D) dismisses concerns.
Question 4 of 5
A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hr to a 6-year-old child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 400
Rationale: Dose = (80 mg/kg/day × 20 kg) ÷ 4 doses/day = 1600 ÷ 4 = 400 mg per dose, rounded to the nearest whole number.
Extract:
Nurses' Notes Day 1:
1000:
• A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.
1200:
• Parenteral nutrition started through PICC line infusing at 75 mL/hr. Day 3:
0800:
• Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout
Diagnostic Results
Day 1:
1100:
• Chest x-ray: PICC line in superior vena cava Day 3:
0800:
• Hct 38% (37% to 47% )
• Hgb 13 g/dL (12 g/dL to 16 g/dL)
• WBC count 11,500/mm3 (5,000 to 10,000/mm3)
• Casual glucose 300 mg/dL (less than 200 mg/dL)
• Urine specific gravity 1.010 (1.005 to 1.030)
Question 5 of 5
A nurse is reviewing the medical record of a client who has a paralytic ileus.Exhibits :Select words from the choices below to fill in each blank in the following sentence The findings in the client's medical record indicate ___ and ___.
Correct Answer: A,B
Rationale: Thirst, frequent urination, and glucose 300 mg/dL indicate hyperglycemia (
A). Elevated WBC (11,500/mm³) suggests infection (
B). No pneumothorax or dehydration signs noted.