ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is teaching a client proper use of an albuterol inhaler during acute asthma exacerbations. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Tilted head forward is not necessary during inhaler use. The client should maintain an upright position. Shaking the inhaler before use is correct to ensure proper dispersion of the medication. Rinsing the mouth out before using the inhaler is not necessary for proper technique. Waiting 10 seconds between puffs allows for optimal delivery of the medication to the airways.
Question 2 of 5
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
Correct Answer: B
Rationale: Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order but it lacks clarity. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Question 3 of 5
A nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus a 6 oz cup of tea 4 oz of apple juice 8 oz of water 3 oz of flavored gelatin and 6 oz of broth. What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1690
Rationale:
To calculate the 8-hr fluid intake convert all measurements to milliliters (mL). 1 oz = 30 mL so 6 oz of tea = 180 mL 4 oz of apple juice = 120 mL 8 oz of water = 240 mL 3 oz of flavored gelatin = 90 mL and 6 oz of broth = 180 mL. Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL. Round the answer to the nearest whole number: 1690 mL. The nurse should document 1690 mL as the client's 8-hr fluid intake.
Question 4 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin which facilitates the entry of tryptophan into the brain promoting the production of serotonin and melatonin. Taking a 30-minute daily nap especially close to bedtime may interfere with nighttime sleep. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine which can interfere with sleep.
Question 5 of 5
A parish nurse is developing a program of educational sessions to meet the needs of the older adults in the congregation. Which of the following is the best approach to enhance development of suitable programs?
Correct Answer: A
Rationale: Surveying the target population helps identify specific interests and health concerns ensuring that the programs are tailored to the needs of older adults. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults. Basing the programs on their developmental stage is important but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.