ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale: Establishing mutual learning goals fosters partnership and aligns teaching with client needs increasing lifestyle change success. Assessing knowledge identifying resources and scheduling sessions follow goal-setting.
Question 2 of 5
A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Calculate: 100 mL ÷ 2 hr = 50 mL/hr rounded to the nearest whole number as the total volume (100 mL) is infused over 2 hours.
Question 3 of 5
A nurse is auscultating a client's carotid artery while performing a focused cardiac assessment and hears a bruit. The nurse should identify this finding as a manifestation of which of the following conditions?
Correct Answer: D
Rationale: A bruit indicates turbulent blood flow from a narrowed arterial lumen often due to atherosclerosis. Dysrhythmias affect heart rhythm murmurs involve heart valves and hypotension does not directly cause bruits.
Question 4 of 5
A nurse is providing teaching to an older adult client who has kyphosis and osteoporosis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: Increasing calcium and vitamin D intake supports bone health crucial for managing kyphosis and osteoporosis. An electrophysiologic study is unrelated neck braces are not indicated for kyphosis and weight-bearing exercise is beneficial not harmful for bone density.
Question 5 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.