ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Diagnostic Results
Week 1:
Hematocrit (Hct): 42% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 15 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 8,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 350,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.7 mEq/L (Normal range: 3.5 to 5 mEq/L)
Week 2:
Hematocrit (Hct): 37% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 12 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 6,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 100,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.6 mEq/L (Normal range: 3.5 to 5 mEq/L)
Question 1 of 5
A nurse is caring for a female client. The following diagnostic results have been recorded over two weeks: Complete the following sentence by using the lists of options. The client is at risk for -----------------as evidenced by the-----------------------
Correct Answer: A,E
Rationale: Action to Take: A, E; Potential Condition: B; Parameter to Monitor: E, F.
Rationale: The correct answer is A, E because a decrease in platelet count (E) from 350,000/mm² to 100,000/mm² indicates a risk of bleeding. This is further supported by the decrease in hemoglobin levels (F) from 15 g/dL to 12 g/dL, indicating anemia. Monitoring platelet count (E) and hemoglobin levels (F) will help track the risk of bleeding and anemia. Other choices (C, D, G) are not directly supported by the diagnostic results provided.
Extract:
Question 2 of 5
A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?
Correct Answer: D
Rationale: The correct answer is D: Apply an ankle-foot orthotic device to the patient's feet. This option is the most appropriate because an ankle-foot orthotic device helps maintain proper alignment of the foot and ankle, preventing plantar flexion contractures. Placing a pillow under the patient's knees (option
A) may provide comfort but does not address the contracture risk. Positioning trochanter rolls under the hips (option
B) is used for hip alignment, not foot contractures. Advising the patient to wear rubber-soled slippers (option
C) is focused on preventing falls, not contractures. Applying an ankle-foot orthotic device directly addresses the risk of plantar flexion contractures by providing support and maintaining proper alignment of the feet.
Question 3 of 5
A nurse is conducting a Romberg test as part of a patient’s physical assessment. Which of the following methods should the nurse employ?
Correct Answer: C
Rationale: The correct answer is C: Have the patient stand with their arms at their sides and their feet together. During a Romberg test, the patient is asked to stand with their feet together and arms at their sides to assess their ability to maintain balance with eyes closed. This position challenges the patient's proprioception and vestibular system. This test helps to evaluate the patient's sensory and motor systems, specifically the cerebellum and proprioceptive pathways.
Incorrect choices:
A:
Touch the patient's face with a cotton ball - This does not assess balance or proprioception.
B: Apply a vibrating tuning fork to the patient's forehead - This tests for cranial nerve function, not balance.
D: Perform direct percussion over the area of the kidneys - This is unrelated to the Romberg test and assesses kidney function, not balance.
Question 4 of 5
The client was admitted with a productive cough with thick yellow sputum.Breath sounds with crackles were heard in the left upper lobe and decreased breath sounds at bases bilaterally. What is the client’s temperature?
Correct Answer: C
Rationale: The correct answer is C: 38.5°C. A temperature of 38.5°C indicates a fever, which is commonly associated with respiratory infections like pneumonia. The client's symptoms of productive cough with thick yellow sputum, crackles in the left upper lobe, and decreased breath sounds at the bases suggest a lower respiratory tract infection. Fever is a common sign of infection as the body raises its temperature to fight off pathogens.
Choices A and B are within normal range, making them less likely given the presenting symptoms.
Choice D is too high for a typical fever associated with a respiratory infection.
Question 5 of 5
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to be mixed together and administered subcutaneously.Determine the correct order of steps for this procedure.
Correct Answer: C,A,D,B
Rationale:
Correct Answer: C, A, D, B
Rationale:
1. Injecting air into the bottle of NPH insulin (
C) prevents a vacuum from forming when you withdraw the dose.
2. Injecting air into the bottle of regular insulin (
A) prevents negative pressure, making it easier to withdraw the dose.
3. Withdraw the correct dose of regular insulin (
D) first to avoid contamination.
4. Withdraw the correct dose of NPH insulin (
B) last as it is a longer-acting insulin, ensuring proper mixing and administration.
Summary:
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Choice A is incorrect as air should be injected into the NPH insulin bottle first.
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Choice B is incorrect as NPH insulin should be drawn last.
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Choice D is incorrect as regular insulin should be drawn before NPH insulin.
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Choice E, F, and G are not relevant to the correct order of steps.