ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is educating an older adult client at risk for osteoporosis on starting a regular physical activity program. Which type of activity should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Walking briskly. Brisk walking is a weight-bearing, low-impact exercise that helps improve bone density and reduce the risk of osteoporosis in older adults. Weight-bearing exercises stimulate bone formation and strengthen bones. Riding a bicycle (
B) is not weight-bearing and may not have the same bone-strengthening benefits. Isometric exercises (
C) focus on muscle contraction without movement and do not provide the necessary impact for bone health. High-impact aerobics (
D) can be too intense and risky for older adults at risk for osteoporosis, potentially increasing the risk of fractures.
Question 2 of 5
A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.
Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.
Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.
Extract:
Nurses' Notes
The pressure injury on the sacrum was covered with slough and eschar. Debridement was performed.
The pressure injury was malodorous and at stage 4 with two tunnels present.
The pressure injury measured 10 cm (4 in) in diameter and 3 cm (1.2 in) at the deepest point.
The tunneling locations were at one and eight o’clock and measured at 6 cm (24 in) and 4 cm (1.6 in) respectively. The wound care nurse initiated negative pressure wound therapy.
Today, the client was sitting in bed, alert and oriented x. The client stated, “I can’t wait to get this thing off of me.”. The client reported pain as a 5 on a scale of 0 to 10. A PRN analgesic was prescribed.
At 0830, the client’s condition was assessed.
The client was at the bedside for a dressing change. S1 and S2 were auscultated, with a rate of 76/min. Respirations were even and regular at 16/min.
The negative pressure wound therapy dressing was removed.
Granulation tissue covered the wound bed. There was slight erythema.
The pressure injury measured 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point.
Two tunnels measured 5 cm (2 in) and 3 cm (1.2 in). The dressing was reapplied and sealed, with an intermittent pressure setting at 125 mm Hg. The client reported pain as a 2 on a scale from 0 to 10 and tolerated the procedure well.
Question 3 of 5
Three days ago, a client was admitted from home with a reported pressure injury. The provider and wound care nurse were at the bedside. Which statement best describes the most critical aspect of the client's pressure injury and current treatment?
Correct Answer: B
Rationale: The correct answer is B: The pressure injury was at stage 4. This is the most critical aspect because stage 4 pressure injuries are the most severe, involving extensive tissue damage. Immediate and appropriate treatment is crucial to prevent further complications and promote healing.
Choice A is not as critical because the timing of admission does not directly impact the urgency of treating a stage 4 pressure injury.
Choice C, the client's pain level, though important, is not the most critical aspect as pain can vary among individuals and may not always correlate with the severity of the injury.
Choice D, the dressing being reapplied, is a part of the treatment process but not the most critical aspect compared to identifying the stage of the pressure injury.
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 4 of 5
Which three findings require follow-up?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, D. Oxygen saturation, temperature, and heart rate are vital signs that require follow-up as they provide crucial information about a patient's health status. Oxygen saturation indicates how well oxygen is being carried in the blood, temperature reflects the body's metabolic activity, and heart rate indicates cardiac function. Monitoring these parameters can help in assessing the patient's overall condition and detecting any abnormalities early. Blood pressure, on the other hand, is important but not included in the correct answer as it may not require immediate follow-up unless it is significantly high or low.
Extract:
Question 5 of 5
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which piece of information is the priority for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. This is the priority because it provides crucial information about the client's respiratory status and the effectiveness of treatment for pneumonia. Abnormal breath sounds could indicate worsening respiratory distress or pneumonia complications. Providing this information helps the oncoming nurse assess the client's current condition and make timely interventions. The other choices are not as critical: A - Admitting diagnosis is important but does not provide immediate information on the client's current status; C - Body temperature is relevant but may not indicate the severity of pneumonia; D - Diagnostic test results are important but may not provide real-time data on the client's respiratory status.