ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A client in the emergency department reports abdominal pain and has not had a bowel movement for the past 7 days.
Question 1 of 5
Based on the client's clinical findings, which action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C - Administer a cleansing enema. This action is appropriate based on the client's clinical findings because it helps relieve constipation or fecal impaction, which may be causing discomfort. Administering an enema can help stimulate bowel movements and alleviate symptoms quickly. Assisting the client to a left side-lying position with the right knee flexed (
Choice
A) may help with gas expulsion but may not address the underlying issue of constipation. Preparing the client for a chest x-ray (
Choice
B) is not indicated for addressing bowel-related issues. Auscultating the client's bowel sounds (
Choice
D) is important but does not directly address the need for immediate relief of constipation.
Extract:
A nurse is providing discharge instructions to a patient who will be using a walker.
Question 2 of 5
Which of the following statements by the patient indicates that the teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because hiring someone to trim the tree shows the patient understands the importance of avoiding potential hazards like falling branches. This indicates effective teaching on safety measures. A is incorrect as using an extension cord can lead to tripping hazards. C is incorrect as placing an alarm clock on a dresser doesn't demonstrate understanding of the teaching content. D is incorrect as replacing a throw rug doesn't address safety concerns.
Extract:
A nurse is caring for a client who has COPD.The following are the client’s vital signs: Temperature 38.6C (101.5° F), BP 114/86 mm Hg, Heart rate 99/min, Respiratory rate 32/min, Oxygen saturation 85% on room air.
Question 3 of 5
Which three findings require follow-up?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, D. Oxygen saturation, temperature, and heart rate are vital signs that require follow-up as they provide crucial information about a patient's health status. Oxygen saturation indicates how well oxygen is being carried in the blood, temperature reflects the body's metabolic activity, and heart rate indicates cardiac function. Monitoring these parameters can help in assessing the patient's overall condition and detecting any abnormalities early. Blood pressure, on the other hand, is important but not included in the correct answer as it may not require immediate follow-up unless it is significantly high or low.
Extract:
A nurse is caring for a patient who has a respiratory infection.
Question 4 of 5
What technique should the nurse use when performing nasotracheal suctioning for the patient?
Correct Answer: B
Rationale: The correct answer is B: Apply intermittent suction when withdrawing the catheter. This technique helps prevent mucosal damage and hypoxia by reducing the risk of excessive suction pressure and prolonged suction time. Inserting the catheter while the patient is swallowing (
A) can lead to aspiration. Placing the catheter in a clean and dry location for later use (
C) is incorrect as it can lead to contamination. Holding the suction catheter with the non-dominant hand (
D) is not necessary for effective suctioning.
Extract:
Question 5 of 5
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which piece of information is the priority for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. This is the priority because it provides crucial information about the client's respiratory status and the effectiveness of treatment for pneumonia. Abnormal breath sounds could indicate worsening respiratory distress or pneumonia complications. Providing this information helps the oncoming nurse assess the client's current condition and make timely interventions. The other choices are not as critical: A - Admitting diagnosis is important but does not provide immediate information on the client's current status; C - Body temperature is relevant but may not indicate the severity of pneumonia; D - Diagnostic test results are important but may not provide real-time data on the client's respiratory status.