ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Nurses' Notes Day 1:
1000:
• A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.
1200:
• Parenteral nutrition started through PICC line infusing at 75 mL/hr. Day 3:
0800:
• Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout
Diagnostic Results
Day 1:
1100:
• Chest x-ray: PICC line in superior vena cava Day 3:
0800:
• Hct 38% (37% to 47% )
• Hgb 13 g/dL (12 g/dL to 16 g/dL)
• WBC count 11,500/mm3 (5,000 to 10,000/mm3)
• Casual glucose 300 mg/dL (less than 200 mg/dL)
• Urine specific gravity 1.010 (1.005 to 1.030)
Question 1 of 5
A nurse is reviewing the medical record of a client who has a paralytic ileus.Exhibits :Select words from the choices below to fill in each blank in the following sentence The findings in the client's medical record indicate ___ and ___.
Correct Answer: A,B
Rationale: Thirst, frequent urination, and glucose 300 mg/dL indicate hyperglycemia (
A). Elevated WBC (11,500/mm³) suggests infection (
B). No pneumothorax or dehydration signs noted.
Extract:
Question 2 of 5
During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Obtaining the type and cross-match (
A) first ensures blood availability for surgery, prioritizing patient safety. Informing (
B), documenting (
C), and reporting (
D) follow.
Question 3 of 5
A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?
Correct Answer: C
Rationale: The patient’s name (
C) is the standard identifier to ensure the right client, per safety protocols. Room number (
A), phone (
B), and diagnosis (
D) aren’t reliable identifiers.
Question 4 of 5
A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Keeping the collection bag below bladder level (
B) prevents urine backflow, reducing infection risk. Disconnecting (
A) introduces bacteria, catheter size (
C) varies by need, and overfilling (
D) risks backflow.
Question 5 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Deep, rhythmic breaths (
A) relax muscles and reduce pain perception. Prolonged heat (
B) risks burns, distraction removal (
C) is secondary, and long ice (
D) is for acute pain, not mild chronic.