ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is instructing a client whose left leg is in a cast on how to use crutches. Which statement from the client indicates they have understood the instructions?
Correct Answer: B
Rationale: The correct answer is B because placing crutches 12 inches in front and to the side of each foot provides the client with a wider base of support, ensuring stability and preventing falls. This position also allows for proper weight distribution and reduces strain on the arms and shoulders.
Choice A is incorrect because shifting weight to the right leg while descending stairs can lead to imbalance.
Choice C is incorrect as holding one crutch in each hand while sitting down is not a safe or effective technique for using crutches.
Choice D is incorrect because ensuring the shoulder rests are snug against the body may not necessarily indicate proper crutch use.
Extract:
A nurse is caring for a patient who has a respiratory infection.
Question 2 of 5
What technique should the nurse use when performing nasotracheal suctioning for the patient?
Correct Answer: B
Rationale: The correct answer is B: Apply intermittent suction when withdrawing the catheter. This technique helps prevent mucosal damage and hypoxia by reducing the risk of excessive suction pressure and prolonged suction time. Inserting the catheter while the patient is swallowing (
A) can lead to aspiration. Placing the catheter in a clean and dry location for later use (
C) is incorrect as it can lead to contamination. Holding the suction catheter with the non-dominant hand (
D) is not necessary for effective suctioning.
Extract:
Nurses’ Notes
Client 1: The client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: The client has a history of hyperlipidemia. Atorvastatin 20 mg PO was administered as prescribed.
Client 3: The client is 1 day postoperative. The client reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous was administered as prescribed.
Client 4: The client is admitted with a new diagnosis of heart failure.
Client 5: The client has a stage 2 pressure injury on the left heel.
Client 6: The client is admitted with a new diagnosis of diabetes mellitus.
Question 3 of 5
A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions.Exhibits:Based on the Nurses’ Notes, which client should the nurse assess first? Please select the correct client number from the choices below:
Correct Answer: C
Rationale: The correct answer is Client 3. The rationale is to prioritize based on the urgency of the clients' conditions. Client 3 should be assessed first because the urgency of their condition is likely higher compared to the others. Assessing Client 3 first ensures that any critical issues are addressed promptly, potentially preventing further deterioration. Clients 1, 2, 4, and 5 may have important needs but are not as urgent as Client 3. Client 6 is not listed, so it is not a relevant option.
Therefore, by prioritizing the assessment of Client 3, the nurse can provide timely and appropriate care to the most critical patient.
Extract:
Diagnostic Results
Week 1:
Hematocrit (Hct): 42% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 15 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 8,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 350,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.7 mEq/L (Normal range: 3.5 to 5 mEq/L)
Week 2:
Hematocrit (Hct): 37% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 12 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 6,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 100,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.6 mEq/L (Normal range: 3.5 to 5 mEq/L)
Question 4 of 5
A nurse is caring for a female client. The following diagnostic results have been recorded over two weeks: Complete the following sentence by using the lists of options. The client is at risk for -----------------as evidenced by the-----------------------
Correct Answer: A,E
Rationale: Action to Take: A, E; Potential Condition: B; Parameter to Monitor: E, F.
Rationale: The correct answer is A, E because a decrease in platelet count (E) from 350,000/mm² to 100,000/mm² indicates a risk of bleeding. This is further supported by the decrease in hemoglobin levels (F) from 15 g/dL to 12 g/dL, indicating anemia. Monitoring platelet count (E) and hemoglobin levels (F) will help track the risk of bleeding and anemia. Other choices (C, D, G) are not directly supported by the diagnostic results provided.
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.