ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus a 6 oz cup of tea 4 oz of apple juice 8 oz of water 3 oz of flavored gelatin and 6 oz of broth. What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1690
Rationale:
To calculate the 8-hr fluid intake convert all measurements to milliliters (mL). 1 oz = 30 mL so 6 oz of tea = 180 mL 4 oz of apple juice = 120 mL 8 oz of water = 240 mL 3 oz of flavored gelatin = 90 mL and 6 oz of broth = 180 mL. Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL. Round the answer to the nearest whole number: 1690 mL. The nurse should document 1690 mL as the client's 8-hr fluid intake.
Question 2 of 5
A nurse is caring for a client who has a stage II pressure ulcer. Which of the following products should the nurse use to treat the ulcer?
Correct Answer: B
Rationale: Granulex is a topical medication used for wound care but it may not be the first choice for a stage II pressure ulcer. Hydrocolloid dressings are appropriate for stage II pressure ulcers providing a moist environment to support healing and protecting the wound from contamination. Proteolytic enzymes are used for debridement of necrotic tissue and may not be the primary choice for a stage II pressure ulcer. Cortisone cream is a topical steroid that may be used for certain skin conditions but is not typically the first-line treatment for pressure ulcers.
Question 3 of 5
A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?
Correct Answer: A
Rationale: Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare. Referring the client to a counselor can be appropriate but the primary response should be to support the client's decision. Encouraging the client not to give up may not be appropriate if the client has made a well-considered decision to refuse further treatment. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.
Question 4 of 5
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?
Correct Answer: B
Rationale: The frequency of previous vital sign measurements may be important but is not the most critical information to communicate during a transfer. The effectiveness of the last dose of pain medication is crucial information for the receiving facility to manage the client's pain appropriately. The number of family members who have visited is important for emotional support but may not be the priority for the receiving facility. The time of the client's last bath is relevant but may not be as critical as information related to pain management during the hand-off report.
Question 5 of 5
To plan culturally competent care a nurse should consider that:
Correct Answer: D
Rationale: While some clients may be receptive to a scientific perspective cultural beliefs and practices can significantly influence health-related decisions and behaviors. Assigning clients to specific cultural categories can lead to stereotyping and may not account for the individual variations within a cultural group. Disease and illness can indeed be influenced by cultural factors including beliefs about health and healing practices. The meaning of behavior can vary widely across cultures and understanding the cultural context is crucial for providing culturally competent care.