ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has a new prescription for metformin. Which of the following laboratory tests should the nurse monitor? Which lab test should the nurse monitor for metformin?
Correct Answer: D
Rationale: Metformin requires renal function monitoring due to risk of lactic acidosis in renal impairment. Other tests are less relevant.
Question 2 of 5
A nurse is educating a group of nursing students about brain herniation. Which of the following interventions should the nurse include as a potential treatment for brain herniation? Which intervention is a potential treatment for brain herniation?
Correct Answer: A
Rationale: Hyperventilation reduces intracranial pressure by lowering CO2, aiding brain herniation management.
Question 3 of 5
A nurse is obtaining a preoperative medical and surgical history from a patient scheduled for a cataract extraction procedure. Which of the following patient statements require further investigation by the nurse? Which statement requires further investigation pre-cataract surgery?
Correct Answer: D
Rationale: Recent cough and runny nose may indicate infection, requiring investigation to ensure surgical safety.
Question 4 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings would indicate that the treatment has been effective? Which finding indicates effective cool mist tent treatment?
Correct Answer: A
Rationale: Decreased stridor indicates soothed airways, showing effective treatment for croup. Other findings are less specific.
Extract:
Nurse's Notes & Physical Examination
• The client has been lying in bed and appears more fatigued than earlier. They complain of increased dizziness and a persistent headache. The nausea has worsened, and the client reports feeling faint upon sitting up. There is noticeable pallor, and the skin feels cool to touch. The client is breathing rapidly and appears anxious, stating that they feel something is not right. Heart rate has increased further, and rhythm remains regular but fast. Lung sounds are now clear bilaterally without diminished areas. The client still requires assistance for ambulation due to unsteadiness.
Vital Signs
• Blood Pressure: 110/68 mm Hg
• Temperature: 36.4° C (97.5° F)
• Pulse: 98/min
• Respirations: 24/min
Diagnostic Results
• Hemoglobin: 13.4 g/dL
• Hematocrit: 40.8%
• Blood Glucose: 245 mg/dL
• Serum Potassium: 4.8 mEq/L (Reference range: 3.5-5.0 mEq/L)
Provider's Prescriptions
• Administer IV fluids at 75 mL/hr.
• Recheck blood glucose level in 2 hours.
• Continue monitoring fluid intake and output.
Scenario :A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the client's condition evolves and whether it worsens or improves.
1500 hrs - Follow-Up Assessment
Question 5 of 5
Based on the 1500 hrs assessment, categorize the following actions for the client
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Increasing IV fluid rate | |||
| Encouraging the client to sit up without assistance | |||
| Administering antiemetic medication | |||
| Monitoring respiratory rate closely | |||
| Providing reassurance and calming interventions | |||
| Checking electrolyte levels regularly |
Correct Answer:
Rationale: Monitoring respiratory rate (rapid breathing), providing reassurance (anxiety), and checking electrolytes are essential. Antiemetic is helpful but not critical. Increasing fluids without assessment and sitting unassisted (faintness) are contraindicated.