ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a dysrhythmia. Which of the following techniques is appropriate for the nurse to use to assess for a pulse deficit?
Correct Answer: A
Rationale: Obtaining apical and radial rates simultaneously allows the nurse to assess for a pulse deficit by comparing the two rates. A pulse deficit is present when the apical rate (heard with a stethoscope) is greater than the radial rate (palpated at the wrist). Palpating pulses in the lower extremities is not specific for assessing a pulse deficit and may not accurately reflect the cardiac output. Checking blood pressure in left and right arms assesses for blood pressure differences but does not specifically address a pulse deficit. Comparing the pulse strength in the upper extremities does not directly assess for a pulse deficit; simultaneous assessment of apical and radial rates is more appropriate.
Question 3 of 5
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure?
Correct Answer: C
Rationale: Raising the index finger is not a typical response for managing gagging during NG tube insertion. Bearing down during insertion is not an appropriate instruction and may increase the risk of complications. Instructing the client to say "stop" if a burning sensation is felt inside the nose allows for communication and prompt action to ensure the client's comfort and safety. Inhaling forcefully during insertion is not a recommended action and may interfere with the procedure.
Question 4 of 5
A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?
Correct Answer: D
Rationale: Decreased hematocrit may be seen in fluid volume excess not deficit. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit. Increased skin turgor is a clinical manifestation of fluid volume deficit. Increased pulse rate is a compensatory response to fluid volume deficit reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.
Question 5 of 5
A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: Controlled substances typically require a licensed nurse or provider to witness the wasting not assistive personnel. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.