ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is calculating the total fluid intake for a patient over a 4-hour period. The patient consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. How many mL of intake should the nurse record on the patient's chart? How many mL of fluid intake should the nurse record?
Correct Answer: 1160
Rationale: 1 cup coffee = 240 mL, 4 oz juice = 118.3 mL, 3 oz water = 88.7 mL, 1 cup gelatin = 236.6 mL, 1 cup tea = 240 mL, 5 oz broth = 147.9 mL, 3 oz water = 88.7 mL; total = 1160.2 mL, rounded to 1160 mL.
Extract:
Nurse's Notes & Physical Examination
• The client arrived in the emergency department with complaints of fatigue, blurred vision, dizziness, and headache for the past two days. They report running out of blood glucose strips and insulin due to financial constraints. The client appears tired, is cooperative, and has a slightly dry mucous membrane. They are oriented to person, place, and time but seem concerned about their health status. The skin is warm and dry to the touch, with no visible rashes or lesions. Heart sounds are regular without murmurs; breath sounds are clear bilaterally. The abdomen is soft with no tenderness upon palpation. The client expresses anxiety about potential falls due to dizziness.
Vital Signs
• Blood Pressure: 120/72 mm Hg
• Temperature: 36.8° C (98.2° F)
• Pulse: 88/min
• Respirations: 20/min
Diagnostic Results
• Blood Glucose: 235 mg/dL (Reference range: 74-106 mg/dL)
• HbA1c: 8.4% (Target for diabetics: <7%)
• Hemoglobin: 14.2 g/dL (12-18 g/dL)
• Hematocrit: 42.6% (37-52%)
• WBC Count: 6000/mm³ (5000-10,000/mm³)
Provider's Prescriptions
• Increase glargine from 20 units to 25 units at bedtime.
• Continue other home medications as prescribed.
Scenario: A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the patient's condition evolves and whether it worsens or improves. The initial data is recorded at 0700 hrs, followed by subsequent observations at different times.
Question 2 of 5
Based on the initial assessment and diagnostic results, what is the priority nursing intervention?
Correct Answer: A
Rationale: IV fluids address dehydration from high blood glucose and dry mucous membranes, a priority over insulin, oxygen (no respiratory distress), or fall precautions (supportive).
Extract:
Question 3 of 5
A nurse is attending to a patient with a wound infection. What should the nurse do when collecting a wound-drainage specimen for culture? What should the nurse do for wound culture collection?
Correct Answer: C
Rationale: Cleansing with saline removes surface bacteria for accurate culture. Swabbing skin, using antiseptic, or including intact skin risks contamination.
Question 4 of 5
A nurse is instructing a patient who has been newly prescribed sumatriptan tablets for the treatment of migraine headaches. Which instructions should the nurse include? What instructions should the nurse include for sumatriptan?
Correct Answer: B
Rationale: Repeating the dose in 1 hour if the headache persists is standard. Sumatriptan is not daily, tablets are swallowed whole, and eyelid swelling is not typical.
Question 5 of 5
A nurse is caring for a client who has nausea and a prescription for metoclopramide intravenously every 8 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which explanation should the nurse provide?How does metoclopramide relieve nausea?
Correct Answer: A,D
Rationale: Metoclopramide promotes and enhances gastric emptying, speeding stomach emptying, not relaxing muscles or reducing acid.