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: The client is at risk for Bleeding as evidenced by the Decrease in Platelet count from 350,000/mm² to 100,000/mm². Platelets are a crucial component of the blood that helps in clotting and preventing excessive bleeding. A decrease in platelet count from 350,000/mm² to 100,000/mm² is significant and puts the client at risk for bleeding. This is because when platelet levels fall below the normal range (150,000 to 400,000/mm²), the body's ability to form clots and stop bleeding is compromised.
Extract:
Nurses’ Notes
Client 1: The client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: The client has a history of hyperlipidemia. Atorvastatin 20 mg PO was administered as prescribed.
Client 3: The client is 1 day postoperative. The client reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous was administered as prescribed.
Client 4: The client is admitted with a new diagnosis of heart failure.
Client 5: The client has a stage 2 pressure injury on the left heel.
Client 6: The client is admitted with a new diagnosis of diabetes mellitus.
Question 2 of 5
A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions.Exhibits:Based on the Nurses’ Notes, which client should the nurse assess first? Please select the correct client number from the choices below:
Correct Answer: C
Rationale: Client 3 is 1 day postoperative and reports pain as 8 on a scale of 0 to 10, even after Morphine 5 mg subcutaneous was administered as prescribed. This indicates that the client's pain is not well controlled and could be a sign of complications.
Therefore, immediate assessment is required. This client should be the nurse's highest priority.
Extract:
A nurse is providing discharge instructions to a patient who has a new prescription for a home oxygen concentrator.
Question 3 of 5
Which of the following instructions should the nurse provide to the patient and their family?
Correct Answer: A,B,C,D
Rationale:
Choice A: Inspecting the cord prevents electrical hazards.
Choice B: Keeping the unit away from stoves reduces fire risk.
Choice C: A generator ensures continuous oxygen supply.
Choice D: Monitoring for hypoxia ensures patient safety.
Choice E: Synthetic materials increase fire risk and are not recommended.
Extract:
A nurse is providing care for a patient who has terminal liver cancer.
Question 4 of 5
Which statement from the patient should the nurse recognize as a sign of spiritual distress?
Correct Answer: A
Rationale: The statement 'What did I do to deserve this illness?' could indicate spiritual distress. This statement suggests that the patient may be struggling with feelings of guilt, punishment, or existential crisis.
Extract:
A nurse is preparing to transfer a patient who can bear weight on one leg from the bed to a chair.
Question 5 of 5
After securing a safe environment, what should the nurse do next?
Correct Answer: C
Rationale: Assessing the patient for orthostatic hypotension is crucial because patients who can only bear weight on one leg may have compromised balance and stability.