ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all.
Correct Answer: A, D, E
Rationale: The correct guidelines for endotracheal suctioning are A, D, and E. A is correct because applying suction while withdrawing the catheter helps prevent trauma to the airway. D is correct to prevent the risk of infection by using a new catheter for each suctioning attempt. E is correct to limit the number of suctioning attempts to prevent hypoxia and airway trauma.
Choice B is incorrect as suctioning should be based on assessment rather than routine timing.
Choice C is incorrect as strict sterile technique, not just medical asepsis, is required for suctioning.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30 minutes. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 83
Rationale:
To calculate the correct IV infusion rate in gtt/min, we first need to determine the total drops needed for 250 mL over 30 minutes.
Step 1: Calculate total drops needed per minute
250 mL / 30 minutes = 8.33 mL/min
8.33 mL/min x 10 gtt/mL = 83.3 gtt/min
Step 2: Round down to nearest whole number
83.3 gtt/min rounds down to 83 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 83 gtt/min.
Summary:
Choice A: Incorrect, as it does not match the calculated rate of 83 gtt/min.
Choices B-G: These choices are incorrect as they do not align with the calculated rate based on the given information.
Question 3 of 5
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nail polish should not be used near a client receiving oxygen as it is flammable and can ignite easily, posing a fire hazard.
C: A 'No smoking' sign should be placed on the front door to remind everyone that smoking is prohibited in the presence of oxygen, reducing the risk of fire.
E: A fire extinguisher should be readily available in the home to quickly extinguish any fire that may occur due to oxygen use, ensuring safety.
Incorrect
Choices:
A: Family members who smoke must be at least 10 ft from the client when oxygen is in use is important, but it is more crucial to prevent any source of ignition near oxygen.
D: Cotton bedding & clothing should not be replaced with items made from wool specifically due to oxygen use. It is unnecessary and not related to oxygen safety.
Question 4 of 5
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the client to close his eyes & identify which of the following items?
Correct Answer: D
Rationale:
Correct Answer: D - A familiar object she places in his hand
Rationale: Stereognosis is the ability to identify objects by touch without visual input. Asking the client to identify a familiar object placed in their hand tests this ability. By closing their eyes, the client relies solely on tactile sensations to recognize the object. This test requires intact sensory pathways and cognitive processing to interpret the information received through touch.
Summary of Other
Choices:
A: A word whispered close to the ear tests auditory processing, not stereognosis.
B: Tracing a number on the palm tests tactile recognition but not stereognosis.
C: Vibration sensation on the foot tests proprioception, not stereognosis.
Question 5 of 5
A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutynin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all.
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Taking frequent sips of water helps combat dry mouth, a common anticholinergic effect of oxybutynin.
B: Wearing sunglasses protects against photophobia, another potential anticholinergic effect.
E: Urinating prior to taking the medication can help reduce urinary retention, a side effect of oxybutynin.
Incorrect
Choices:
C: Using a soft toothbrush is not directly related to managing anticholinergic effects.
D: Taking the medication with an antacid may interfere with its absorption and is not recommended.