ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hours to a 6 year-old child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 400
Rationale:
To calculate the correct dose for the child, we first need to determine the total daily dose. The child weighs 20 kg, so the total daily dose would be 80 mg/kg/day x 20 kg = 1600 mg/day. Since the medication is to be given every 6 hours, the total daily dose needs to be divided into 4 doses.
Therefore, 1600 mg/day รท 4 doses = 400 mg per dose. Hence, the correct answer is A: 400 mg. Other choices are incorrect because they do not follow the correct calculation process.
Question 2 of 5
A nurse is preparing to assess a client's carotid arteries. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Auscultate each carotid artery with the bell of the stethoscope. This is the correct action because listening with the bell of the stethoscope allows the nurse to assess for bruits, which are abnormal sounds that can indicate narrowing or occlusion of the arteries. This assessment technique helps in detecting any potential vascular issues. Placing the client in a high-Fowler's position (choice
A) is not necessary for assessing the carotid arteries. Palpating the carotid arteries simultaneously (choice
C) can lead to inaccurate assessment as it may obstruct blood flow. Massaging the carotid artery while assessing the client (choice
D) is not recommended as it can potentially dislodge any existing plaque and cause a stroke.
Question 3 of 5
A nurse is assessing a client who has chronic pain. Which of the following findings is associated with chronic pain?
Correct Answer: D
Rationale: The correct answer is D: Depression. Chronic pain often leads to emotional distress, including depression. This is because living with persistent pain can affect a person's mood, behavior, and overall quality of life. Depression is a common co-morbidity in individuals with chronic pain.
Constricted pupils (
A) are not typically associated with chronic pain. Bradycardia (
B) refers to a slow heart rate and is not a common finding in chronic pain. Diaphoresis (
C), which is excessive sweating, is not a consistent sign of chronic pain.
Therefore, these choices are incorrect in the context of chronic pain assessment.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of insulin-dependent diabetes mellitus. The client states, 'I am concerned about being able to monitor my blood glucose regularly due to my busy schedule.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "We can discuss several scheduling options for monitoring your blood glucose."
Rationale:
1. This response acknowledges the client's concern and shows empathy.
2. By offering to discuss scheduling options, the nurse empowers the client to be involved in finding a solution that fits their busy schedule.
3. It promotes client autonomy and self-management, which are crucial in managing a chronic condition like diabetes.
Summary of Incorrect
Choices:
A: This choice is not comprehensive as it only suggests checking before eating, which may not be sufficient for effective monitoring.
C: Asking the client to completely reorganize their schedule may not be practical or realistic.
D: Relying solely on the provider to set a monitoring schedule does not promote client empowerment or self-management.
Question 5 of 5
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Insert an indwelling urinary catheter and connect it to gravity drainage. In this situation, the client is showing signs of urinary retention, which can lead to serious complications if not addressed promptly. By inserting a urinary catheter, the nurse can help relieve the client's discomfort and prevent further complications such as bladder distention or urinary tract infections. Connecting it to gravity drainage allows for proper drainage of urine.
Choice A is incorrect because simply hearing running water may not be effective in helping the client void.
Choice B is incorrect as encouraging fluid intake may exacerbate the issue if the client is already having difficulty voiding.
Choice C is incorrect as providing a bedpan while lying supine is not an appropriate position for voiding. It may further hinder the client's ability to void.