ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: D
Rationale: Lactated Ringer’s isn’t used for RBCs. Confirming identity with the technician is done earlier. A small gauge catheter isn’t ideal for blood. Checking compatibility is critical to prevent reactions.
Extract:
Nurses' Notes
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Vital Signs
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Medication Administration Record
Day 1, 1500:
• Cefazolin 500 mg every 12 hr IV Dexamethasone 15 mg every 6 hr IV
Day 3, 1200:
• Discontinue dexamethasone 15 mg every 6 hr IV Prednisone 40 mg PO daily
Day 4, 1500:
• Discontinue cefazolin 500 mg every 12 hr IV
Question 2 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include?
Correct Answer: A,C
Rationale: Adjusting oxygen flow maintains oxygenation. Antibiotics were discontinued, so 10 days is incorrect. Storing the wrench ensures access. Keeping oxygen from heat prevents fires. Steroid timing and tapering lack specifics in the scenario.
Extract:
Question 3 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?
Correct Answer: A
Rationale: Speech-language pathologists specialize in assessing and managing dysphagia. Social workers address psychosocial needs, physical therapists focus on mobility, and occupational therapists assist with daily activities, none of which directly manage swallowing issues.
Question 4 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?
Correct Answer: B
Rationale: Bowel cleansing isn’t needed for IVP. Metal objects must be removed to avoid imaging interference. Oral contrast isn’t used; IV contrast is standard. Suprapubic pain monitoring is post-procedure.
Question 5 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: D
Rationale: Lactated Ringer’s isn’t used for RBCs. Confirming identity with the technician is done earlier. A small gauge catheter isn’t ideal for blood. Checking compatibility is critical to prevent reactions.