ATI RN
ATI Clinical Exam Questions
Extract:
Nurse's Notes & Physical Examination
• The client has been lying in bed and appears more fatigued than earlier. They complain of increased dizziness and a persistent headache. The nausea has worsened, and the client reports feeling faint upon sitting up. There is noticeable pallor, and the skin feels cool to touch. The client is breathing rapidly and appears anxious, stating that they feel something is not right. Heart rate has increased further, and rhythm remains regular but fast. Lung sounds are now clear bilaterally without diminished areas. The client still requires assistance for ambulation due to unsteadiness.
Vital Signs
• Blood Pressure: 110/68 mm Hg
• Temperature: 36.4° C (97.5° F)
• Pulse: 98/min
• Respirations: 24/min
Diagnostic Results
• Hemoglobin: 13.4 g/dL
• Hematocrit: 40.8%
• Blood Glucose: 245 mg/dL
• Serum Potassium: 4.8 mEq/L (Reference range: 3.5-5.0 mEq/L)
Provider's Prescriptions
• Administer IV fluids at 75 mL/hr.
• Recheck blood glucose level in 2 hours.
• Continue monitoring fluid intake and output.
Scenario :A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the client's condition evolves and whether it worsens or improves.
1500 hrs - Follow-Up Assessment
Question 1 of 5
Based on the 1500 hrs assessment, categorize the following actions for the client
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Increasing IV fluid rate | |||
| Encouraging the client to sit up without assistance | |||
| Administering antiemetic medication | |||
| Monitoring respiratory rate closely | |||
| Providing reassurance and calming interventions | |||
| Checking electrolyte levels regularly |
Correct Answer:
Rationale: Monitoring respiratory rate (rapid breathing), providing reassurance (anxiety), and checking electrolytes are essential. Antiemetic is helpful but not critical. Increasing fluids without assessment and sitting unassisted (faintness) are contraindicated.
Extract:
Question 2 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? Which statement indicates a need for HIPAA teaching?
Correct Answer: D
Rationale: Disclosing information to family without consent violates HIPAA. Other statements are correct.
Question 3 of 5
A nurse is caring for a patient who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider? Which finding post-bowel resection should the nurse report?
Correct Answer: B
Rationale: Abdominal distension may indicate obstruction or ileus, requiring reporting. Other findings are expected.
Question 4 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings would indicate that the treatment has been effective? Which finding indicates effective cool mist tent treatment?
Correct Answer: A
Rationale: Decreased stridor indicates soothed airways, showing effective treatment for croup. Other findings are less specific.
Question 5 of 5
A nurse is caring for a patient who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? Which action prevents hip dislocation post-arthroplasty?
Correct Answer: C
Rationale: A pillow between legs maintains abduction, preventing dislocation. High Fowler's, adduction, or excessive flexion increase risk.