ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. Hyperlipidemia (
A), diabetes mellitus (
B), certain medications in the medication history (
C), and low prealbumin level (E) can all contribute to delayed wound healing. Hyperlipidemia and diabetes can impair blood flow and decrease the body's ability to fight infection. Certain medications may interfere with the healing process. A low prealbumin level indicates poor nutritional status, which is essential for wound healing. Cholesterol level (
D) alone does not directly impact wound healing. A, B, C, and E are all factors that can directly affect the body's ability to heal wounds efficiently.
Question 2 of 5
A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states
Correct Answer: D
Rationale: The correct answer is D: Unit of measurement. The nurse should clarify the unit of measurement used for the blood pressure reading, as it is not specified in the documentation. Blood pressure readings are typically recorded in mm Hg (millimeters of mercury), but without specifying the unit, it can lead to confusion or misinterpretation.
Summary of why other choices are incorrect:
A: Blood pressure values provided are within normal range.
B: Systolic blood pressure is part of a blood pressure reading.
C: The position of the client is important for accurate blood pressure measurement.
E: The location of the blood pressure cuff can impact the accuracy of the reading, but it is not the most critical information to clarify in this case.
Question 3 of 5
A nurse is discussing a client's needs at an interdisciplinary team conference. The client had a stroke and requires inpatient rehabilitation incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Collaborator. The nurse is demonstrating the competency of a collaborator by engaging in interdisciplinary teamwork to coordinate the client's care, including inpatient rehabilitation. Collaboration involves working with other healthcare professionals to achieve optimal outcomes for the client. In this scenario, the nurse is actively participating in a team conference to address the client's needs, which aligns with the collaborator competency.
Summary of other choices:
B: Case manager - While case managers also play a role in coordinating care, the focus is more on managing the overall care process rather than collaborating with a team.
C: Nurse manager - Nurse managers are responsible for overseeing nursing staff and unit operations, not specifically coordinating interdisciplinary care.
D: Advocate - Advocacy involves speaking up for the client's rights and needs, but in this case, the nurse is primarily engaging in collaborative teamwork rather than advocacy.
Question 4 of 5
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale: The correct answer is 4 mL.
To calculate this, the nurse must divide the desired dose by the concentration available. So, 40 mg ÷ 10 mg/1 mL = 4 mL. This ensures the correct dosage is administered. Other choices are incorrect because they do not follow the correct calculation method. Option A, for example, may be too high or too low, leading to underdosing or overdosing the medication. Options B-G are also incorrect as they do not align with the appropriate conversion of dosage to mL based on the concentration provided.
Question 5 of 5
A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following information should the nurse include when discussing the electronic mode of communication?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B is correct because electronic communication includes video conference calls with clients. This form of communication allows for visual and auditory interaction, enhancing engagement and understanding between healthcare providers and clients.
Summary of Other
Choices:
A: Incorrect. Providers should not send prescriptions on unencrypted devices due to privacy and security concerns.
C: Incorrect. Electronic communication carries a risk of privacy violations if not properly secured and encrypted.
D: Incorrect. Social media is a form of electronic communication, but may not always be appropriate for professional healthcare interactions.