ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is educating a client who is under protective isolation precautions. Which statement from the client indicates they have understood the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will wear a face mask when leaving my hospital room." This statement shows understanding of the need to prevent the spread of infection by wearing a face mask, a key aspect of protective isolation precautions.
Choice A is incorrect as shower frequency doesn't relate to isolation precautions.
Choice B is incorrect as it doesn't address infection control.
Choice C is incorrect because taking a plane could expose others to potential infection.
Question 2 of 5
A nurse in a clinic is caring for a middle-aged patient who states, 'The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?'
Correct Answer: B
Rationale: The correct answer is B: You should have a fecal occult blood test every year. This is the recommended screening test for patients at average risk for colon cancer as it can detect blood in the stool, which may indicate the presence of colorectal cancer. Colonoscopy (
Choice
A) is typically recommended starting at age 50 for average-risk individuals. Sigmoidoscopy (
Choice
C) is another screening option, but it is usually done every 5 years, not every 10 years. Getting a blood sample for a screening test (
Choice
D) is not specific to colon cancer screening and may not be as effective as the fecal occult blood test for detecting early signs of colorectal cancer.
Question 3 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 4 of 5
A patient reports abdominal pain.An abdominal x-ray indicates a large amount of fecal material throughout the colon, but no evidence of gastrointestinal obstruction is observed.Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer a cleansing enema. This is the appropriate action because the large amount of fecal material in the colon indicates constipation. Administering a cleansing enema can help relieve the constipation by softening and loosening the stool, making it easier for the patient to pass. This intervention is non-invasive and can be effective in resolving the patient's abdominal pain.
Choice A is incorrect because the patient already has fecal material throughout the colon, so positioning alone may not be sufficient to alleviate the symptoms.
Choice B is incorrect as a chest x-ray would not provide relevant information for the patient's abdominal pain.
Choice D is incorrect because a manual digital examination is not indicated without further assessment or suspicion of a specific rectal issue.
Extract:
A home health nurse is conducting an admission assessment of an elderly patient who has their caregiver present.
Question 5 of 5
Which observation should the nurse identify as a potential sign of elder abuse?
Correct Answer: C
Rationale: The correct answer is C because a caregiver insisting on staying in the room can be a potential sign of elder abuse, as it may indicate controlling behavior or a desire to monitor interactions. The other choices are less indicative of abuse: A could be related to mobility issues, B may reflect personal hygiene preferences, and D is a common legal arrangement for managing finances.