ATI RN
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ATI RN Fundamentals Exam 6 Questions
Extract:
Question
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1 of 5
A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?
Correct Answer: C
Rationale: Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.
Question 2 of 5
A nurse is preparing to administer carbamazepine to a client who has an NG tube. The provider orders 800 mg each day in two divided doses. Carbamazepine oral suspension is available in 20 mg/mL doses. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 20
Rationale:
To calculate the amount of carbamazepine oral suspension needed for each dose divide the total daily dose by the concentration of the suspension and then by the number of doses per day. 800 mg / 20 mg/mL / 2 = 20 mL. The nurse should administer 20 mL of carbamazepine oral suspension with each dose.
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 providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 5 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.