ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at risk for pressure injury formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client's bony prominences?
Correct Answer: A
Rationale: The 30° lateral position distributes weight evenly reducing pressure on bony prominences. Semi-prone supine and Fowler’s positions increase pressure on areas like the sacrum and heels heightening pressure injury risk.
Question 2 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 3 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 4 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 5 of 5
A nurse is caring for a group of clients. Which of the following client-care situations requires the nurse to complete an incident report?
Correct Answer: A
Rationale: Administering enoxaparin in the deltoid is incorrect (should be abdomen or thigh) requiring an incident report for protocol deviation. Catheter advancement wound cleansing and tube flushing are standard practices.