ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Keeping the drainage bag below the bladder prevents urine backflow and infection. Attaching to side rails (
B) risks trauma the bag should be emptied when half full (
C) and taping to the abdomen (
D) may obstruct flow; the thigh is correct for females.
Question 2 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL indicates delayed gastric emptying risking aspiration and is unexpected. Weight gain (
A) shows nutritional adequacy glucose 110 mg/dL (
B) is normal and one diarrhea episode (
C) is a common side effect.
Question 3 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst indicates hyperglycemia due to dehydration from high glucose. Confusion (
A) cold skin (
C) and shakiness (
D) are signs of hypoglycemia.
Question 4 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus 200 mL emesis 40 mL voided urine and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
Total intake is 700 mL (600 + 100) total output is 260 mL (200 + 40 + 20) so net intake is 700 - 260 = 440 mL.
Question 5 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: C
Rationale: An occupational therapist helps with ADLs through adaptive strategies. Physical therapists (
A) focus on mobility dietitians (
B) on nutrition and speech pathologists (
D) on communication/swallowing.