ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 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 2 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:
-
Choice A is incorrect as air should be injected into the NPH insulin bottle first.
-
Choice B is incorrect as NPH insulin should be drawn last.
-
Choice D is incorrect as regular insulin should be drawn before NPH insulin.
-
Choice E, F, and G are not relevant to the correct order of steps.
Question 3 of 5
A nurse is caring for a patient who needs a nasogastric (NG) tube for stomach decompression. Which of the following steps should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale:
Correct Answer: D - Encourage the patient to take sips of water to facilitate the insertion of the NG tube into the esophagus.
Rationale: Encouraging the patient to take sips of water helps lubricate the esophagus and aids in the passage of the NG tube smoothly. This technique can reduce discomfort and resistance during insertion.
Summary:
A: Positioning the patient with the head of the bed elevated is important for NG tube insertion, but it is not the immediate step during the process.
B: Removing the NG tube if the patient gags or chokes is incorrect; these are common reactions and do not necessarily indicate a need for removal.
C: Applying suction before insertion is unnecessary and can cause discomfort to the patient.
Question 4 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: The correct answer is A because providing oxygen through a tube in the nose is a non-invasive and supportive measure to help the patient breathe easier. It aligns with the patient's wishes to decline resuscitation and focuses on comfort care.
Choice B is incorrect because a living will allows patients to change their wishes at any time.
Choice C is incorrect as inserting a breathing tube may not align with the patient's wishes for comfort-focused care.
Choice D is incorrect as consulting the appointed person should only be done if the patient is unable to make decisions themselves.
Extract:
A nurse is providing discharge instructions to a patient who has a new prescription for a home oxygen concentrator.
Question 5 of 5
Which of the following instructions should the nurse provide to the patient and their family?
Correct Answer: A,B,C,D
Rationale: The correct instructions for the patient and family are important for safety and health.
A: Regularly inspecting the cord prevents electrical hazards. B: Keeping the unit away from a gas stove prevents fire hazards. C: Having a generator ensures power backup during emergencies. D: Monitoring for hypoxia is crucial for early intervention.
Incorrect: E: Clothing choice is unrelated to the instructions.