ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Exibit 1
Medication Administration Record 0800:
Amoxicillin 500 mg PC every 8 hr
Exibit 2
Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout
0830
Client reports itching over the chest area and has urticaria over chest and trunk
Client states tongue feels swollen.
Bilateral breath sounds with scattered wheezing upon auscultation.
Exibit 3
Vital Signs
0800:
Temperature 37.6° C (99.7° F)
Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air
0830
Temperature 37.5° C (99.5° F)
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 24/min
Pulse oximetry 93% on room air
Question 1 of 5
A nurse is caring for a client. Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: Wheezing (
B), hypotension (
C), tachycardia (
D), and swollen tongue (E) indicate anaphylaxis, requiring urgent action per ABCs. Temperature (
A) and hives (F) are less immediate.
Extract:
Question 2 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: D
Rationale: Occupational therapist (
D) aids ADLs like feeding. Social worker (
A), PA (
B), and PT (
C) don’t specialize in this.
Question 3 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Stopping transfusion (
D), oxygen (
B), high-Fowler’s (E), and diuretic (
A) address TACO. Epinephrine (
C) is for anaphylaxis, not overload.
Extract:
Exibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client-does not drink alcohol
Exibit 2
Diagnostic Results
Initial visit:
Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
Total 25-hydroxy D (vitamin D + D) 24 ng/dL. (25 to 80 ng/dL) 6-month follow-up:
Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
Total 25-hydroxy D (vitamin D + D.) 15 ng/dL (25 to 80 ng/dL)
Exibit 3
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.
Question 4 of 5
A nurse in a provider's office is caring for a client. The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,D
Rationale: Low vitamin D (
B) and sedentary lifestyle (
D) increase osteoporosis risk. No alcohol (
A), lactose intolerance (
C) indirect, no smoking (E), normal phosphorus (F).
Extract:
Question 5 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Rechecking other arm (
D) confirms elevated BP accuracy. Waiting (
A) delays, 50% cuff (
B) is wrong (40% standard), supine check (
C) isn’t first step.