ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis.The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. What should be the infusion pump rate?(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 8
Rationale: The correct answer is 8.
To calculate the infusion pump rate, divide the total units in the bag by the prescribed hourly rate. In this case, 25,000 units divided by 800 units/hr equals 31.25 hours. Since the bag contains 250 mL, the pump should be set to infuse 8 mL/hr (250 mL divided by 31.25 hours). This ensures the client receives the prescribed 800 units/hr.
Choice A: Incorrect. This choice is empty.
Choice B-G: Incorrect. These choices are empty.
Summary: The correct infusion pump rate for the heparin infusion is 8 mL/hr based on the prescribed dosage and volume in the bag. Other choices are incorrect as they are empty.
Question 2 of 5
A nurse is assessing an older adult client’s risk for falls.Which assessments should the nurse use to identify the client’s safety needs? (Select all that apply)
Correct Answer: B,C,D
Rationale: The correct assessments for identifying an older adult client's safety needs are appearance of gait, visual fields, and visual acuity. Gait appearance helps determine balance and coordination, crucial for fall risk. Visual fields are important for detecting peripheral vision deficits that can contribute to falls. Visual acuity assesses the client's ability to see clearly, which is essential for navigating obstacles and hazards. Pupil clarity (choice
A) is not directly related to fall risk assessment. The other choices (E, F, G) are not provided, so they cannot be evaluated.
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 3 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:
A nurse is caring for a client who had a spinal cord injury and has paraplegia. The client is alert and oriented.The client is repositioned every 2 hr. Passive range-of-motion exercises to lower extremities are performed once each day.On Day 5, the client’s feet are warm, pedal pulses are 2+ bilaterally, plantar flexion contractures are noted bilaterally, and the left heel has a 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema, with skin intact.
Question 4 of 5
Which findings require intervention by the nurse?
Correct Answer: A,B,C
Rationale:
Correct
Answer: A, B, C
Rationale:
A: Passive range-of-motion exercises to lower extremities performed once each day are important to prevent contractures and maintain joint mobility in immobile patients.
B: Left heel with nonblanchable erythema indicates a pressure injury or early sign of skin breakdown, requiring intervention to prevent further damage.
C: Plantar flexion contractures can lead to foot drop and impair mobility, so early intervention is necessary to prevent complications.
Summary:
D: Pedal pulses 2+ bilaterally indicate good circulation, which does not require immediate intervention.
E, F, G: Insufficient information provided to determine if these findings require immediate intervention.
Extract:
Question 5 of 5
The client was admitted with a productive cough with thick yellow sputum.Breath sounds with crackles were heard in the left upper lobe and decreased breath sounds at bases bilaterally. What is the client’s temperature?
Correct Answer: C
Rationale: The correct answer is C: 38.5°C. A temperature of 38.5°C indicates a fever, which is commonly associated with respiratory infections like pneumonia. The client's symptoms of productive cough with thick yellow sputum, crackles in the left upper lobe, and decreased breath sounds at the bases suggest a lower respiratory tract infection. Fever is a common sign of infection as the body raises its temperature to fight off pathogens.
Choices A and B are within normal range, making them less likely given the presenting symptoms.
Choice D is too high for a typical fever associated with a respiratory infection.