ATI RN
ATI RN Fundamentals 2023 Questions
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 1 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 2 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Cooked vegetables and bananas are solids. Pudding is smooth and suitable for a full liquid diet. Yogurt with fruit may contain solids, which aren’t allowed.
Question 3 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A semi-Fowler’s position may help but isn’t specific to medication administration. Timing between meals doesn’t address swallowing issues. Using a straw increases aspiration risk. Administering medications one at a time allows better swallowing control and reduces aspiration risk.
Question 4 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: Two- and four-point gaits require partial weight-bearing on both legs. Swing-through is for non-weight-bearing. Three-point gait suits one-leg weight-bearing, advancing the non-weight-bearing leg with crutches.
Question 5 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Logrolling is for spinal injuries. Trochanter rolls prevent hip rotation and maintain alignment. Arms at sides may restrict movement. Crossing ankles risks pressure injuries.