ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Convert the client's weight to kilograms. This is the first step because the dose of cefadroxil is calculated based on the client's weight in kilograms.
To convert 98 lb to kg, divide the weight in pounds by 2.2 (1 kg = 2.2 lb).
Therefore, 98 lb รท 2.2 = 44.54 kg. Once the weight is converted to kilograms, the nurse can then calculate the dosage in milligrams (choice
B) by multiplying the weight in kg by 15 mg. The nurse would then calculate the dosage in milliliters (choice
C) by using the concentration of the medication (250 mg/5 mL). Rounding the amount to be administered to the nearest whole number (choice
A) would be the final step before administering the medication.
Question 2 of 5
A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?
Correct Answer: B
Rationale: The correct answer is B: Code of ethics. Nurses are bound by ethical standards to maintain client confidentiality and respect privacy. By accessing a client's medical record without involvement in their care, the nurse breaches these ethical principles.
Choice A (Quality of practice) relates more to the standard of care provided directly to clients.
Choices C (Collaboration) and D (Evidence-based practice) are not directly related to the nurse's unauthorized access to a client's medical record.
Extract:
Client Education
Day 1 Learning Outcome:.
A. Describe the basic definition of diabetes mellitus.
B. Describe the expected reference range and target blood glucose levels.
C. Describe manifestations of hypoglycemia and hyperglycemia.
Day 1 Teaching Methods:.
A. Give the client printed information describing diabetes mellitus.
B. Engage in a question-and-answer session with the client.
Day 2 Learning Objectives:.
A. Describe the effects of insulin and exercise.
B. Demonstrate monitoring blood glucose levels using a fingerstick and blood glucose monitor.
Day 2 Teaching Methods:.
A. Ask the client how they feel about checking their blood glucose.
B. Ask the client to demonstrate checking their blood glucose level.
C. Ask the client to describe the manifestations of hypoglycemia and hyperglycemia.
D. Give the client a fill-in-the-blank quiz regarding the effects of insulin and exercise.
Question 3 of 5
A nurse is creating a teaching plan for a client who has a new diagnosis of diabetes mellitus.ExhibitsWhich of the following teaching methods is based on the cognitive domain of learning? Select all that apply.
Correct Answer: A,B,E,F
Rationale: The correct teaching methods based on the cognitive domain of learning are A, B, E, and F. A: Providing printed information engages the client's reading and understanding skills. B: Engaging in a question-and-answer session promotes critical thinking and understanding. E: Giving a fill-in-the-blank quiz tests the client's knowledge retention. F: Asking the client to describe manifestations requires them to recall and apply learned information.
Choices C and D involve affective and psychomotor domains, focusing on feelings and physical skills, respectively.
Extract:
Question 4 of 5
A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating?
Correct Answer: B
Rationale: The correct answer is B: Health promotion. The nurse is demonstrating health promotion by conducting a blood pressure screening for a client with a family history of hypertension. Health promotion focuses on empowering individuals to take control of their health by promoting healthy behaviors and preventing illnesses. By screening for high blood pressure, the nurse is actively working to prevent the development or progression of hypertension in the client.
A: Health education focuses on providing information to individuals to increase their knowledge about health-related topics. While educating the client about hypertension may be part of the screening process, the primary concept being demonstrated is health promotion through the screening itself.
C: Holistic health considers the whole person, including physical, mental, emotional, and spiritual aspects of health. While important, this concept is not directly related to the specific action of conducting a blood pressure screening in this scenario.
D: Disease prevention involves strategies to reduce the risk of developing specific illnesses. While closely related to health promotion, disease prevention typically involves targeted interventions aimed at reducing the
Question 5 of 5
An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge?
Correct Answer: A
Rationale: The correct answer is A: Skilled nursing. The client will require skilled nursing services postoperatively to monitor their recovery progress, manage any potential complications, provide wound care, and assist with physical therapy sessions. Skilled nursing care is typically provided in a short-term basis following surgery to help the client regain independence and transition back to their normal activities of daily living.
Summary of incorrect choices:
B: Assisted living - Typically for individuals who require minimal assistance with activities of daily living, not intensive postoperative care.
C: Long-term care - Provides ongoing care for individuals with chronic conditions or disabilities, not typically needed postoperatively for a short-term period.
D: Palliative care - Focuses on providing relief from symptoms and stress of a serious illness, not specific to postoperative care needs.