ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer fluoxetine 40 mg PO daily. The available medication is fluoxetine 20 mg/mL. How many mL should the nurse administer? How many mL of fluoxetine should the nurse administer?
Correct Answer: B
Rationale:
To calculate the mL of fluoxetine to administer, use the formula: desired dose (40 mg) / stock dose (20 mg/mL) = mL to administer.
Therefore, 40 mg / 20 mg/mL = 2 mL. This is why choice B (2 mL) is correct.
Choice A (1 mL) is incorrect as it does not provide the full dose.
Choices C (3 mL) and D (4 mL) are incorrect as they exceed the required dose.
Question 2 of 5
A nurse is educating a group of nursing students about brain herniation. Which of the following interventions should the nurse include as a potential treatment for brain herniation? Which intervention is a potential treatment for brain herniation?
Correct Answer: A
Rationale: The correct answer is A: Hyperventilate the patient. Hyperventilation helps to decrease the PaCO2 levels, leading to vasoconstriction and decreased cerebral blood flow, which can help reduce intracranial pressure associated with brain herniation. This intervention aims to improve cerebral perfusion and prevent further brain damage. Decreasing sedation (choice
B) may be necessary to assess the patient's neurological status, but it does not directly address brain herniation. Reducing the room temperature (choice
C) can help in managing fever, but it does not target brain herniation. Lowering blood pressure (choice
D) may be necessary in some cases, but it is not a primary treatment for brain herniation.
Question 3 of 5
A nurse is caring for an older adult patient with left-sided heart failure. What assessment findings should the nurse expect? What finding should the nurse expect in left-sided heart failure?
Correct Answer: A
Rationale: The correct answer is A: Frothy sputum. In left-sided heart failure, the failing left ventricle results in blood backing up into the lungs causing pulmonary congestion. This leads to the production of frothy, pink-tinged sputum due to blood-tinged fluid leaking into the alveoli. Dependent edema (choice
B) is more indicative of right-sided heart failure. Nocturnal polyuria (choice
C) is not a typical finding in left-sided heart failure. Jugular distention (choice
D) is more commonly seen in right-sided heart failure due to increased venous pressure.
Question 4 of 5
A nurse is calculating the total fluid intake for a patient over a 4-hour period. The patient consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. How many mL of intake should the nurse record on the patient's chart? How many mL of fluid intake should the nurse record?
Correct Answer: 1160
Rationale: The correct answer is 1160 mL.
To calculate this, first convert all measurements to mL: 1 cup = 240 mL, 1 oz = 30 mL.
Coffee (240 mL), orange juice (120 mL), water (90 mL), flavored gelatin (240 mL), tea (240 mL), broth (150 mL), water (90 mL).
Adding these up: 240 + 120 + 90 + 240 + 240 + 150 + 90 = 1170 mL.
Therefore, the nurse should record 1160 mL on the patient's chart.
Other choices are incorrect because they do not calculate the total accurately or convert all measurements to mL.
Question 5 of 5
A nurse is caring for a toddler. The nurse's observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next? What should the nurse do next for toddler vital signs?
Correct Answer: A
Rationale:
Rationale: Option A is correct as the toddler's vital signs are within acceptable ranges. The heart rate, respiratory rate, and oxygen saturation are normal for a toddler. The elevated temperature may indicate a fever, but it is not alarming. The blood pressure is slightly low but still acceptable.
Therefore, the nurse should monitor the toddler's vital signs closely to assess for any changes. Administering oxygen, notifying the healthcare provider, or reassessing in 15 minutes are not necessary at this point as the vital signs do not indicate immediate concern. Monitoring closely allows for timely detection of any deterioration or improvement in the toddler's condition.