ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: C
Rationale: The correct answer is C: Eat a light carbohydrate snack before bedtime. Carbohydrates can increase the production of serotonin, a neurotransmitter that helps regulate sleep. This can promote relaxation and aid in falling asleep. Napping during the day (choice
A) can make it harder to sleep at night. Exercising close to bedtime (choice
B) can increase alertness and make it difficult to fall asleep. Drinking hot cocoa (choice
D) can also contain caffeine, which can disrupt sleep.
Question 2 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: The correct answer is C: Gloves. The nurse should remove gloves first because they are the most likely to be contaminated. Removing gloves first prevents cross-contamination when touching other parts of the PPE. Removing the gown next helps prevent contamination of the nurse's clothing. Eyewear and mask should be removed last as they provide protection to the nurse's mucous membranes. Removing the mask last ensures protection of the nurse's respiratory system.
Question 3 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's concern and shows empathy by reflecting back what the client said. It opens up the opportunity for the client to further express their feelings and concerns, fostering therapeutic communication.
A: This answer does not acknowledge the client's concerns and may come off as dismissive.
B: This answer invalidates the client's feelings and does not address their concerns.
C: This answer focuses solely on physical aspects and does not address the emotional aspect of the client's concern.
Extract:
Exibit 1
Provider Prescriptions
Day 4, 1500:
Discharge prescriptions:
Cephalexin 500 mg PO every 6 hr for 5 days Prednisone 40 mg PO daily for 5 days Home oxygen 3 L/min via nasal cannula
Exibit 2
Vital Signs
Day 1, 1100:
Temperature 39.1° C (102.4° F) Pulse rate 102/min Respiratory rate 26/min
Blood pressure 122/80 mm Hg Oxygen saturation 86% on room air Weight 90.7 kg (200 lb)
Day 2, 1200:
Temperature 38° C (100.4° F) Pulse rate 100/min Respiratory rate 22/min
Blood pressure 120/74 mm Hg
Oxygen saturation 88% on nasal cannula at 2 L/min Day 3, 1200:
Température 37.2° C (98.9" F) Pulse rate 90/min
Respiratory rate 20/min
Blood pressure 120/72 mm Hg
Exibit 3
Medication Administration Record
Day 1, 1500:
Cefazolin 500 mg every 12 hr IV Dexamethasone 15 mg every 6 hr IV Day 3, 1200:
Discontinue dexamethasone 15 mg every 6 hr IV Prednisone 40 mg PO daily
Day 4, 1500:
Discontinue cefazolin 500 mg every 12 hr IV
Question 4 of 5
A nurse is caring for a client who has pneumonia. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: D,E,F
Rationale:
Correct Answer: D, E, F
Rationale:
D: Steroid medication should be taken in the morning - Steroid medication is typically taken in the morning to align with the body's natural cortisol production.
E: The steroid dose will decrease each day - Steroid therapy is usually tapered off gradually to prevent withdrawal symptoms.
F: Ensure the oxygen delivery system is at least 8 feet from any heat source - This is important to prevent the risk of fire or explosion.
Incorrect
Choices:
A: Store the oxygen cylinder wrench with the oxygen tank - This is incorrect as the wrench should be stored separately for easy access during emergencies.
B: Antibiotic therapy should be taken for 10 days - The duration of antibiotic therapy may vary depending on the specific antibiotic and the severity of the infection. It is not always 10 days.
C: Adjust the oxygen flow rate as needed to ease breathing - The oxygen flow rate should be set according to the healthcare provider's instructions and not adjusted arbitrarily.
G
Extract:
Question 5 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: B
Rationale: The correct answer is B because having an area rug covering a tile floor poses a significant fall risk for an older adult with osteoporosis, as it increases the chances of tripping and falling. The other choices (A, C,
D) are all appropriate measures to promote safety. Storing prescriptions in a medication organizer promotes medication adherence and prevents errors. Installing grab bars in the shower enhances stability and reduces the risk of falls. Setting the hot water heater to 47°C (117°F) is within the safe range to prevent scalding injuries.