ATI RN
ATI Ns 117 Fundamentals Exam Questions
Extract:
Medication Administration Record
• Metformin 500 mg BID
• Amlodipine 10mg OD
• Hydroxychloroquine 200 mg OD
• Prednisone 10 mg OD
History and Physical
• 1 week before procedure:
• Type 2 diabetes mellitus
• Hypertension
• Rheumatoid arthritis
• Smokes 2 pack cigarettes/day for 20 years
Diagnostic results
Serum glucose: 105 mg/dL (70-110 mg/dL)
HEMATOLOGICAL TESTS
Laboratory Test Results Normal range
Hemoglobin 13.8 g/dL 13-17 g/dL
White blood cell count 9,000/mm³ 4,000-11,000/mm³
Platelets 354 x 109/L 150-450 x 109/L
Question 1 of 5
A nurse is assisting with the care of a client who is scheduled for a surgical procedure.Exhibits: The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Smoking impairs healing and respiratory function, prednisone suppresses immunity, and diabetes increases infection and healing risks. Normal WBC and metformin are not direct risks.
Extract:
Question 2 of 5
A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take? A. Fill the client's bathtub with water at 48° C (118.4° F) B. Give the client a long-handled sponge. C. Offer the client bar soap. D. Provide the client with a fixed showerhead. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A long-handled sponge aids independence. Water at 48°C is too hot, bar soap can dry skin, and a fixed showerhead reduces control.
Question 3 of 5
A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take? A. Gently roll the insulin vial to mix B. Inject the insulin 2.5 cm (1) from the client's navel. C. Aspirate the injection after inserting the needle. D. Administer the insulin into a muscle. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Rolling NPH insulin mixes it without bubbles. Insulin is injected 5 cm from the navel, aspiration is unnecessary, and it’s subcutaneous, not intramuscular.
Question 4 of 5
A nurse is actively listening to a client who has concerns about a new diagnosis. Which of the following categories of Swanson's Theory of Caring is the nurse demonstrating? A. Being with B. Knowing C. Enabling D. Doing for Which of the following categories of Swanson's Theory of Caring is the nurse demonstrating?
Correct Answer: B
Rationale: Knowing involves understanding the client’s concerns, as shown by active listening. Being with is emotional presence, enabling is supporting coping, and doing for is performing tasks.
Question 5 of 5
A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include? A. Apply lotion between the toes. B. Wash feet in hot water. C. Avoid walking barefoot D. Wear open-toed shoes Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoiding barefoot walking prevents injuries due to reduced sensation. Lotion between toes risks infection, hot water can burn, and open-toed shoes expose feet.