ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 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. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1170
Rationale:
Step 1: Convert cups and ounces to mL (1 cup = 240 mL, 1 oz = 30 mL): Coffee: 1 cup = 240 mL; Orange juice: 4 oz × 30 mL = 120 mL; Water.ConcurrentHashMap (first): 3 oz × 30 mL = 90 mL; Flavored gelatin: 1 cup = 240 mL; Tea: 1 cup = 240 mL; Broth: 5 oz × 30 mL = 150 mL; Water (second): 3 oz × 30 mL = 90 mL.
Step 2: Add all the mL values together: 240 + 120 + 90 + 240 + 240 + 150 + 90 = 1,170 mL. Final Answer: 1,170 mL.
Question 2 of 5
A nurse on the telemetry(cardiac unit) is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0-10 pain scale. The nurse administers 1 nitroglycerin (sublingual). After 5 minutes, the client states that his chest pain is now a severity of 2. Which of the following actions Should the nurse take?
Correct Answer: C
Rationale: Obtain an ECG/EKG: Even though the pain improved, unstable angina can progress to myocardial infarction. An ECG helps evaluate for ischemic changes and ensures the pain is truly resolving. Initiate a peripheral IV: While an IV line is useful for medication administration, the patient’s pain has significantly improved with nitroglycerin. An IV may be necessary later, but it is not the next step in this scenario. Administer another nitroglycerin tablet: Nitroglycerin can be repeated every 5 minutes up to 3 doses if chest pain persists or does not decrease significantly. Since the pain has improved (from 6 to 2), additional nitroglycerin is unnecessary. Call the Rapid Response Team (RRT): RRT should be called for worsening chest pain, unresponsiveness, or hemodynamic instability. Since the pain has improved, calling RRT is unnecessary.
Question 3 of 5
The patient requires temperatures to be taken every 2 hours. Which task will be the responsibility of the RN?
Correct Answer: A
Rationale: Assessing changes in body temperature: The RN is responsible for assessing trends in temperature and identifying potential clinical implications (e.g., infection, sepsis, or medication reactions). Being aware of the usual values for the patient: While knowing baseline values is important, this is not solely an RN responsibility. Nursing assistants and other healthcare providers also note baseline values. Obtaining temperature measurements at ordered frequency: This task can be delegated to a nursing assistant or licensed practical nurse (LPN), as it is a routine task that does not require assessment. Using an appropriate route and device: While the RN ensures correct procedures are followed, this specific task can also be performed by trained assistive personnel. The RN focuses on interpretation and intervention.
Question 4 of 5
As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?
Correct Answer: A
Rationale: Remove all metal necklaces: Metal can obscure the x-ray image, so all metal jewelry, piercings, and clothing with metal components should be removed. Take several shallow breaths during the procedure: Patients should take a deep breath and hold it during the x-ray to expand the lungs fully for clearer imaging. Do not eat or drink anything the morning of the test: Fasting is not needed for a chest x-ray; it is typically required for procedures like CT scans with contrast or abdominal ultrasounds. Expect minor discomfort after the procedure: A chest x-ray is non-invasive and painless. There is no expected discomfort afterward.
Question 5 of 5
Which action should the nurse take when using critical thinking to make clinical decisions?
Correct Answer: D
Rationale: Consider what is important in any given situation: Critical thinking involves analyzing the situation, prioritizing information, and making decisions based on what is most important for patient safety and care. Reads and follows the health care provider's orders: While following provider orders is important, critical thinking requires assessing the situation and considering all relevant factors, rather than just following orders without analysis. Accepts one established way to provide care: Critical thinking involves evaluating different approaches and adapting to individual patient needs rather than rigidly adhering to a single method. Makes decisions based on intuition: While intuition can be helpful, evidence-based practice and clinical reasoning should guide decision-making, not just intuition alone.