ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? rounded off to the nearest hundredth
Correct Answer: B
Rationale: The correct answer is B: 0.25 mL.
To calculate the volume needed, use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, Volume = 50 mg / 200 mg/mL = 0.25 mL. It's important to round off to the nearest hundredth as requested.
Choice A (0.3 mL) is incorrect because the calculated volume is less than that.
Choice C (0.4 mL) is incorrect as it's more than the calculated volume.
Choice D (0.15 mL) is incorrect as it's less than the calculated volume.
Question 2 of 5
A nurse is caring for a client who is desiring their wound care to be provided at 1400. The nurse returns at 1400 to perform wound care for the client. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Fidelity. Fidelity refers to the principle of faithfulness or honoring commitments. By returning at 1400 to perform wound care as requested by the client, the nurse is demonstrating fidelity by following through on their commitment to provide care at the agreed-upon time. This shows the nurse's dedication to fulfilling their duty to the client.
A: Justice does not directly apply in this scenario as it pertains to fairness and equal treatment.
B: Autonomy relates to respecting the client's right to make their own decisions, which is not the focus here.
C: Veracity involves truthfulness and honesty, which are not the primary considerations in this situation.
In summary, the nurse's action aligns with the principle of fidelity as it involves fulfilling obligations and responsibilities to the client, making it the most appropriate ethical principle in this context.
Question 3 of 5
A nurse is planning a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?
Correct Answer: D
Rationale: The correct answer is D: Clinical practice guidelines for the management of high blood pressure. This is the most appropriate resource for the nurse as it provides evidence-based recommendations on health promotion activities for clients with hypertension. Clinical practice guidelines offer standardized best practices for healthcare providers and are regularly updated based on the latest research.
A: Standards of care for monitoring clients with a history of blood pressure elevation is more focused on monitoring rather than health promotion activities.
B: A critical pathway for clients who have had a stroke is not directly related to health promotion activities for hypertension.
C: Acute care facility protocol for clients experiencing a hypertensive crisis is specific to managing a crisis situation, not health promotion.
E, F, G: These choices are not provided, but they would likely be irrelevant to the topic of health promotion for clients with hypertension.
Question 4 of 5
A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse. Which of the following examples should the nurse provide when discussing Level I evidence?
Correct Answer: A
Rationale: The correct answer is A: Systematic review. Systematic reviews are considered Level I evidence in the hierarchy of evidence for evidence-based practice. This is because they involve a comprehensive review and synthesis of multiple studies on a particular topic, providing the highest level of evidence for clinical decision-making. Systematic reviews minimize bias and offer a more reliable overview of the available research. Credible websites (
B), expert opinions (
C), and qualitative studies (
D) are not considered Level I evidence as they do not meet the same rigorous standards of evidence synthesis and critical appraisal as systematic reviews.
Question 5 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: A
Rationale: The correct answer is A: Charting by exception (CBE). This method involves documenting only unexpected findings related to the client's condition, which allows for quicker and more efficient charting. By focusing on deviations from the norm, nurses can easily identify changes in the client's status. This approach promotes timely interventions and enhances communication among healthcare team members.
Choice B, Focus charting, involves documenting data, action, and response, which is not specific to unexpected findings only.
Choice C, Problem-oriented medical record, focuses on organizing information around client problems.
Choice D, SOAP documentation, includes subjective, objective, assessment, and plan, which is a comprehensive method but not specific to unexpected findings.