ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is reviewing the reported medications of a client who was recently admitted. The medications include cimetidine (Tagamet) and imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to result in which of the following effects?
Correct Answer: B
Rationale: The correct answer is B: Increased risk of imipramine hydrochloride toxicity. Cimetidine inhibits the metabolism of imipramine hydrochloride, leading to increased levels of imipramine in the body. This can result in a higher risk of imipramine toxicity, as the drug will not be efficiently cleared from the system. Increased levels of imipramine can lead to adverse effects such as drowsiness, confusion, and cardiac arrhythmias.
Choice A is incorrect because cimetidine's therapeutic effects are not affected by its interaction with imipramine.
Choice C is incorrect as there is no evidence to suggest that cimetidine's adverse effects are decreased by its interaction with imipramine.
Choice D is incorrect as the increased levels of imipramine due to cimetidine inhibition do not necessarily translate to increased therapeutic effects; instead, it leads to toxicity.
Question 2 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Applying the oxygen source loosely if SPO2 decreases ensures adequate oxygenation during the procedure.
B: Using surgical asepsis to remove and clean the inner cannula prevents infection and maintains airway patency.
C: Cleaning the outer surfaces in a circular motion from the stoma site outward prevents contamination of the tracheostomy site.
Summary:
D: Replacing tracheostomy ties is not necessary each time and can cause unnecessary trauma to the patient's skin.
E: Cutting a slit in gauze squares is not a standard practice and may increase the risk of infection.
In summary, choices D and E are incorrect as they are not essential steps in tracheostomy care.
Question 3 of 5
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which of the following should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Linear clusters of vesicles with crusting are classic symptoms of herpes zoster, also known as shingles, caused by the reactivation of the varicella-zoster virus. The linear distribution follows the nerve pathways affected by the virus. This presentation is distinct from an allergic reaction (
A), which typically manifests as hives or red, itchy skin patches. Ringworm (
B) presents as circular, scaly patches and is caused by a fungus, not a virus like herpes zoster. Systemic lupus erythematosus (
C) is an autoimmune disease that does not typically present with linear clusters of vesicles.
Question 4 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 5 of 5
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the act of intentionally causing someone to fear that they will be physically harmed. In this case, the AP's threat of putting a diaper on the client if he doesn't use the urinal properly next time constitutes an act of assault because it instills fear in the client.
Choice B, Battery, involves actual physical harm, which is not present in this scenario.
Choice C, False imprisonment, involves restricting someone's freedom of movement, which is not the case here.
Choice D, Invasion of privacy, refers to intruding into someone's private affairs, which is not relevant in this situation.