ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse's response be? How does albuterol aid breathing?
Correct Answer: B,C
Rationale: Albuterol prevents wheezing and opens airways by relaxing muscles, not reducing cough, stimulating mucus, or reducing inflammation.
Question 2 of 5
A nurse is caring for a toddler. The nurse's observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next? What should the nurse do next for toddler vital signs?
Correct Answer: A
Rationale: Vital signs are concerning but not critical (elevated HR, temp); close monitoring is appropriate.
Extract:
History & Physical (0700hrs)
Date: 06/28/0X
• Client presented to the clinic reporting pelvic pain, dysmenorrhea, dyspareunia, and pain with defecation.
• Vaginal examination reveals fixed, palpable nodules with a retroverted uterus.
• Imaging reveals endometrial lesions on the ovaries, uterosacral ligaments, and round ligaments.
• Endometriosis diagnosed.
Provider's Prescriptions (0700hrs)
• Nafarelin 200 mcg: 1 spray intranasally every morning and 1 spray in the opposite nostril every evening.
Nurse's Notes (0700hrs)
• Client reports adherence to nafarelin regimen without missing doses.
• Client verbalizes irritation in the nasal mucosa.
• Reports feeling better overall with decreased dyspareunia.
• Notes decreased pain during bowel movements.
• Reports decreased pelvic pain and the absence of menstruation last month.
• Mentions experiencing headaches, increased acne, and reduced sex drive since starting treatment.
• Client observes a decrease in breast size.
Scenario:
A nurse is caring for a 32-year-old female client who was recently diagnosed with endometriosis. The client is in the clinic for a follow-up visit after beginning nafarelin treatment.
Setting: Clinic
Question 3 of 5
Which of the following manifestations reported by the client should the nurse identify as a therapeutic effect of the nafarelin? (Select all that apply.)
Correct Answer: B,E
Rationale: Reduced dyspareunia and amenorrhea indicate nafarelin's effectiveness in treating endometriosis by lowering estrogen. Other options are side effects.
Extract:
Question 4 of 5
A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions? What should the nurse include in bumetanide instructions?
Correct Answer: C
Rationale: Reporting hearing changes is critical due to potential reversible hearing loss. Nighttime dosing disrupts sleep, fluid limits are not standard, and potassium foods are recommended.
Question 5 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take? What should the nurse do for low urine output?
Correct Answer: B
Rationale: 160 mL over 8 hours is adequate for a 33-lb child (expected ~1-2 mL/kg/hr). Continue monitoring unless other concerns arise.