ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who recently had a below-the-knee amputation. Which of the following client statements demonstrates acceptance of the loss?
Correct Answer: B
Rationale: Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.
Question 2 of 5
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
Correct Answer: B
Rationale: Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order but it lacks clarity. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Question 3 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 4 of 5
A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?
Correct Answer: A
Rationale: Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions. Postural drainage is typically done before meals to avoid potential nausea during the procedure. Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure. Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.
Question 5 of 5
A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain nausea and vomiting for the past 2 days. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Palpating the abdomen may exacerbate pain or cause discomfort and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus which can contribute to the client's symptoms. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.