ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 of 5
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the abdomen. Heparin is typically administered subcutaneously into the abdomen due to the abundance of subcutaneous tissue in this area, allowing for better absorption of the medication. This site also reduces the risk of hitting underlying muscles or blood vessels. Inserting the needle at a 15-degree angle (choice
A) is not necessary as a 90-degree angle is preferred for subcutaneous injections. Aspirating for blood return (choice
B) is not recommended for subcutaneous injections as it may cause tissue damage. Massaging the site after the injection (choice
D) is contraindicated as it can lead to bruising or hematoma formation.
Question 5 of 5
Which of the following items should be recorded as 120 mL of fluid in the client's intake and output record?
Correct Answer: C
Rationale: The correct answer is C: 8 oz of ice chips. In clinical settings, fluids are typically measured in milliliters. 1 oz is approximately 30 mL, so 8 oz of ice chips would be equivalent to 240 mL of fluid. Ice chips are considered a liquid at room temperature and will eventually melt into liquid form, contributing to the client's fluid intake.
Choices A, B, and D are incorrect because they are not equivalent to 120 mL of fluid.
Choice A, 2 cups of soup, is approximately 480 mL.
Choice B, 1 quart of water, is approximately 946 mL.
Choice D, 6 oz of tea, is equivalent to 180 mL.
Therefore, the most accurate option is C based on the given measurement.