ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Eating crackers with pain pills helps reduce stomach irritation commonly associated with narcotics. The client demonstrates an understanding of the importance of taking precautions to minimize side effects.
Incorrect
Choices:
A: Opening time-release capsules can alter drug release, affecting effectiveness.
B: Mixing liquid meds with food can affect absorption and potency.
C: Crushing enteric-coated pills can lead to irritation of the stomach lining.
E, F, G: No information provided.
Question 2 of 5
A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway?
Correct Answer: D
Rationale: The correct answer is D: Promote incentive spirometer use. This intervention helps prevent atelectasis and maintain lung expansion in immobile clients. Isometric exercises (
A) are not directly related to airway patency. Suctioning (
B) every 8 hours is not necessary unless there are secretions. Low-dose heparin (
C) is used for preventing blood clots, not for airway maintenance.
Question 3 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 4 of 5
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. The rationale is that occupational therapists specialize in helping individuals with physical limitations achieve independence in daily activities, such as self-feeding. They can assess the client's needs, recommend appropriate adaptive devices, and provide training on how to use them effectively. Referring the client to an occupational therapist ensures personalized and effective intervention.
Choices A, B, and C are incorrect as they do not have the specific expertise in addressing self-feeding difficulties due to rheumatoid arthritis.
Question 5 of 5
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with hemoglobin in the body. This is crucial information to include in counseling as carbon monoxide competes with oxygen for binding to hemoglobin, leading to decreased oxygen delivery to tissues.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is incorrect as water heaters should be inspected annually.
Choice C is incorrect as carbon monoxide primarily affects the ability of blood to carry oxygen, not the lungs themselves.