ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is caring for a group of patients.Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: B
Rationale: Placing a patient who has tuberculosis in a room with negative-pressure airflow is a key measure in preventing the spread of this airborne infection.
Extract:
A nurse is caring for a patient in a medical-surgical unit.
The patient’s current diagnoses include type 2 diabetes mellitus and a past medical history of a left below-the-knee amputation 5 years ago.
The nurse is at the patient’s bedside for a dressing change.
The patient’s heart sounds (S1 and S2) are auscultated, with a rate of 76/min. The patient’s respirations are even and regular at 16/min.
The negative pressure wound therapy dressing is removed. Granulation tissue covers the wound bed.
There is slight erythema at the wound edges. The surrounding tissue is warm to touch.
There is no odor present.
The pressure injury is 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point.
There are two tunnels measuring 5 cm (2 in) and 3 cm (1.2 in). The dressing is reapplied and sealed.
The intermittent pressure setting is at 125 mm Hg. The patient reports pain as a 2 on a scale from 0 to 10 and tolerated the procedure well.
Question 2 of 5
Which of the following findings indicate an improvement in the patient's condition?
Correct Answer: A
Rationale: Granulation tissue covering the wound bed is a positive sign of wound healing. It consists of new connective tissue and tiny blood vessels that develop in the wound bed as part of the body's response to injury.
Extract:
A nurse is caring for a patient who has dementia
Question 3 of 5
What intervention should the nurse take to minimize the risk of injury to the patient?
Correct Answer: A
Rationale: Using a bed exit alarm system is a common intervention to minimize the risk of injury in patients with dementia. These systems alert staff when a patient attempts to leave the bed.
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 4 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:
A nurse is caring for a client who has COPD.The following are the client’s vital signs: Temperature 38.6C (101.5° F), BP 114/86 mm Hg, Heart rate 99/min, Respiratory rate 32/min, Oxygen saturation 85% on room air.
Question 5 of 5
Which three findings require follow-up?
Correct Answer: B,C,D
Rationale:
Choice A: Blood pressure of 114/86 mm Hg is normal.
Choice B: Oxygen saturation of 85% indicates hypoxemia.
Choice C: Temperature of 38.6°C suggests fever.
Choice D: Heart rate of 99/min indicates mild tachycardia.