ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?
Correct Answer: A
Rationale: Have you had any changes in your diet?': While diet can impact skin health, this question is not the most relevant for an immediate skin assessment. More direct questions about onset, symptoms, and exacerbating factors should be prioritized. 'Does your skin condition keep you awake at night?': Pruritus (itching), pain, or discomfort from a skin condition can disrupt sleep. Asking this helps assess the impact on daily life and quality of sleep. 'How does your skin condition make you feel?': Skin conditions can affect self-esteem and mental health. This question is therapeutic and appropriate to assess emotional impact. 'How do you handle stress?': Many skin conditions, such as eczema and psoriasis, worsen with stress. This question is relevant for identifying triggers.
Question 2 of 5
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?
Correct Answer: D
Rationale: Sedation: Diphenhydramine is a first-generation antihistamine that crosses the blood-brain barrier and has a sedative effect by blocking histamine receptors in the central nervous system. It is commonly used as a sleep aid for this reason. Hypertension: Diphenhydramine (Benadryl) is an antihistamine that typically causes hypotension, not hypertension. It can have a mild vasodilatory effect, leading to a drop in blood pressure in some patients. Constipation: While some antihistamines can cause mild gastrointestinal effects, constipation is not a primary adverse effect of diphenhydramine. Dry mouth and urinary retention are more common due to its anticholinergic properties. Bradycardia: Diphenhydramine can sometimes cause tachycardia (increased heart rate), especially in elderly patients or those prone to cardiovascular effects. Bradycardia (slow heart rate) is not a usual adverse effect.
Question 3 of 5
Your patient drunk 150 mL of Ice Tea. How many ounces is this?
Correct Answer: 5
Rationale: Solution: 1 ounce = 30 mL, so 150 mL ÷ 30 mL/oz = 5 oz. Answer: 5 ounces.
Question 4 of 5
A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?
Correct Answer: D
Rationale: It is important to do breathing exercises every hour to prevent atelectasis': Frequent deep breathing exercises, coughing, and incentive spirometry are essential for preventing atelectasis, especially after surgery. 'If I develop atelectasis, I will need a chest tube to drain excess fluid': Atelectasis is alveolar collapse, not fluid accumulation. Chest tubes are used for pneumothorax or pleural effusion, not for atelectasis. 'Hyperventilation will open up my alveoli, preventing atelectasis': Hyperventilation can cause respiratory alkalosis but does not effectively re-expand alveoli. Incentive spirometry and deep breathing are more effective. 'Atelectasis affects only those with chronic conditions such as emphysema': Atelectasis can affect anyone, especially postoperatively due to shallow breathing and reduced lung expansion. It is not exclusive to chronic conditions.
Question 5 of 5
Convert from Fahrenheit to Celsius: 98.6
Correct Answer: 37
Rationale: Solution: (98.6 - 32) × 5/9 = 37°C. Answer: 37°C.