ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Calculate: 100 mL ÷ 2 hr = 50 mL/hr rounded to the nearest whole number as the total volume (100 mL) is infused over 2 hours.
Question 2 of 5
A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An air-assisted transfer device reduces friction and strain for heavy clients ensuring safety. Slider boards are less effective for 136 kg bed height adjustment is insufficient and head positioning is irrelevant to the transfer.
Question 3 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 4 of 5
A nurse is auscultating a client's carotid artery while performing a focused cardiac assessment and hears a bruit. The nurse should identify this finding as a manifestation of which of the following conditions?
Correct Answer: D
Rationale: A bruit indicates turbulent blood flow from a narrowed arterial lumen often due to atherosclerosis. Dysrhythmias affect heart rhythm murmurs involve heart valves and hypotension does not directly cause bruits.
Question 5 of 5
A nurse is preparing to administer an oral opioid analgesic to a client. Which of the following actions should the nurse take when handling an unused portion of the medication after administration?
Correct Answer: D
Rationale: Returning unused opioids to locked narcotics storage ensures security and prevents diversion. Sending to the pharmacy unverifiable disposal or keeping in a drawer lacks accountability and safety.