ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client’s belief in meeting needs through education reflects self-efficacy driving motivation. Explaining need (
B) and empathy (
D) support learning but are less impactful and family approval (
C) is extrinsic not intrinsic motivation.
Question 2 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Visitors wearing gowns protects the immunocompromised client from infections. Negative-airflow (
A) is for airborne infections semi-private rooms (
B) increase infection risk and masks (
D) are insufficient outside the room.
Question 3 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 4 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus 200 mL emesis 40 mL voided urine and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
Total intake is 700 mL (600 + 100) total output is 260 mL (200 + 40 + 20) so net intake is 700 - 260 = 440 mL.
Question 5 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting sitting time prevents venous stasis and promotes blood flow showing understanding. Crossing legs (
A) impairs circulation massaging legs (
B) risks dislodging a thrombus and leg exercises every 4 hours (
D) are insufficient; hourly exercises are needed.