ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Review the use of an artificial larynx with the client. This is the priority intervention because after a total laryngectomy, the client will need alternative methods for speech, and an artificial larynx is one of the options. It is crucial for the nurse to discuss this with the client prior to the surgery to ensure they understand the use and benefits of this device for communication post-surgery.
A: Scheduling a support session is important but not the priority at this stage.
B: Determining the client's reading ability is not as urgent as ensuring they have a means of communication after the laryngectomy.
D: Explaining esophageal speech is important, but reviewing the artificial larynx is more immediate and essential for communication.
Extract:
Exibit 1
Provider Prescriptions
Day 4, 1500:
Discharge prescriptions:
Cephalexin 500 mg PO every 6 hr for 5 days Prednisone 40 mg PO daily for 5 days Home oxygen 3 L/min via nasal cannula
Exibit 2
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:
Température 37.2° C (98.9" F) Pulse rate 90/min
Respiratory rate 20/min
Blood pressure 120/72 mm Hg
Exibit 3
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 caring for a client who has pneumonia. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: D,E,F
Rationale:
Correct Answer: D, E, F
Rationale:
D: Steroid medication should be taken in the morning - Steroid medication is typically taken in the morning to align with the body's natural cortisol production.
E: The steroid dose will decrease each day - Steroid therapy is usually tapered off gradually to prevent withdrawal symptoms.
F: Ensure the oxygen delivery system is at least 8 feet from any heat source - This is important to prevent the risk of fire or explosion.
Incorrect
Choices:
A: Store the oxygen cylinder wrench with the oxygen tank - This is incorrect as the wrench should be stored separately for easy access during emergencies.
B: Antibiotic therapy should be taken for 10 days - The duration of antibiotic therapy may vary depending on the specific antibiotic and the severity of the infection. It is not always 10 days.
C: Adjust the oxygen flow rate as needed to ease breathing - The oxygen flow rate should be set according to the healthcare provider's instructions and not adjusted arbitrarily.
G
Extract:
Question 3 of 5
A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Activate the facility's fire alarm. This is the next action the nurse should take after ensuring the client's safety. Activating the fire alarm alerts other staff members and emergency services, allowing for a quicker and more coordinated response to the fire. Placing wet towels along the base of the door (choice
A) may help prevent smoke from entering the room but does not address the larger issue of alerting others to the fire. Directing a fire extinguisher at the fire (choice
C) should only be done if the nurse is trained to do so and it is safe. Turning off any electrical equipment (choice
D) may be necessary to prevent further hazards but does not take precedence over alerting others to the fire.
Question 4 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Review the use of an artificial larynx with the client. This is the priority intervention because after a total laryngectomy, the client will need alternative methods for speech, and an artificial larynx is one of the options. It is crucial for the nurse to discuss this with the client prior to the surgery to ensure they understand the use and benefits of this device for communication post-surgery.
A: Scheduling a support session is important but not the priority at this stage.
B: Determining the client's reading ability is not as urgent as ensuring they have a means of communication after the laryngectomy.
D: Explaining esophageal speech is important, but reviewing the artificial larynx is more immediate and essential for communication.
Question 5 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: B
Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Weight-bearing exercises, like walking, help improve bone density and prevent osteoporosis. Walking also helps strengthen muscles and improve balance, reducing the risk of falls and fractures. Performing water aerobics (choice
A) can be beneficial for overall health but may not have the same impact on bone density as weight-bearing exercises. Increasing intake of vitamin B12 (choice
C) is important for overall health but not specifically for osteoporosis prevention. Maintaining a lean body mass (choice
D) is beneficial, but the focus should be on weight-bearing exercises for osteoporosis prevention.