ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 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 2 of 5
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: A respiratory rate of 40/min in an asthma client indicates severe distress risking respiratory failure requiring immediate assessment. Dehydration mild pain and normal glucose levels are less urgent.
Question 3 of 5
A nurse is assessing an older adult client. Which of the following should the nurse identify as an expected physiological change associated with aging?
Correct Answer: B
Rationale: Decreased peripheral circulation is expected in aging due to less elastic narrowed blood vessels causing cold extremities and delayed healing. Sensitivity to touch and appetite decrease while airway resistance increases.
Question 4 of 5
A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the 'background' portion of the Situation,Background,Assessment,Recommendation (SBAR) Communication tool?
Correct Answer: A
Rationale: In the 'background' portion of the SBAR tool the nurse should include the client's present condition to provide context and a baseline for the provider. Suggestions and physical findings belong in the 'assessment' or 'recommendation' sections. Previous treatments may be relevant but are secondary to the current condition in the 'background' section.
Question 5 of 5
A nurse is preparing to administer diazepam 2 mg twice daily via NG tube. Available is diazepam oral solution 5 mg/1 mL. How many mL should the nurse administer with each dose?
Correct Answer: A
Rationale:
To administer 2 mg of diazepam using a 5 mg/1 mL solution calculate: 2 mg ÷ 5 mg/mL = 0.4 mL per dose. Other options (0.8 mL 1 mL 1.6 mL) result in incorrect dosing either overdosing or underdosing the client.